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Organization

STEPHANIE LEVINSON, RD, LDN,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE JOY LEVINSON R.D., L.D.N (REGISTERED DIETITIAN)
(215) 906-4686
Entity
Organization

Contact information

Practice address
105 INVERRARY DR, BLUE BELL, PA 19422-3253
(215) 906-4686
Mailing address
105 INVERRARY DR, BLUE BELL, PA 19422-3253

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002660
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336307016
INDEPENDENCE BLUE CROSS
PA
01
1437384211
FEDERAL HIGHMARK
PA
01
2100197
FEDERAL HIGHMARK
PA
01
3527373000
INDEPENDENCE BLUE CROSS
PA
01
6888412
AETNA
PA
01
9329323
AETNA
PA
Enumeration date
07/12/2011
Last updated
07/12/2011
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