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Individual

DR. JACOB M. LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1838 GREENE TREE RD STE 225B, PIKESVILLE, MD 21208-7115
(443) 471-3270
(410) 584-1875
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(443) 471-3270
(410) 584-1875

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0048189
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030301100
MD
Enumeration date
06/06/2006
Last updated
12/07/2020
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