Organization
COLON AND RECTAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY A LEVINSON MD (PRES/OWNER)
(724) 538-3330
Entity
Organization
Contact information
Practice address
105 BRANDT DR, SUITE 202, CRANBERRY TWP, PA 16066-6437
(724) 538-3330
Mailing address
157 GRISTMILL LN, ZELIENOPLE, PA 16063-3119
(724) 538-3330
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD031375E
PA
Other
Enumeration date
04/14/2011
Last updated
05/27/2011
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