Individual
DR. JERRY ISADORE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 WATERLOO RD STE 200, COLUMBIA, MD 21045-2641
(410) 740-2900
(410) 992-0732
Mailing address
7580 BUCKINGHAM BLVD STE 20, HANOVER, MD 21076-3208
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0022856
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020550
JHHC PROVIDER NUMBER
MD
01
—
0477651
AETNA CAPITATED
MD
01
—
110142478
RR MEDICARE
MD
01
—
1865815
CIGNA PIN
MD
01
—
243368
MAMSI SPECIALIST
MD
01
—
3509-0004
CAREFIRST BLUECHOICE
MD
01
—
366910-01
CAREFIRST MD RENDERING
MD
01
—
4238661
AETNA FEE FOR SERVICE
MD
05
—
780581100
—
MD
01
—
843368
MAMSI PRIMARY CARE
MD
01
—
P12725
CAREFIRST MPOS
MD
Enumeration date
08/10/2005
Last updated
03/13/2023
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