Individual
DR. JERRY ISADORE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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