Organization
PRO-SPECS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J LEVIN MD (PHYSICIAN OWNER)
(610) 384-9100
Entity
Organization
Contact information
Practice address
3000 C G ZINN RD, THE GREENVIEW PAVILION, THORNDALE, PA 19372-1134
(610) 380-1621
(610) 380-9765
Mailing address
3000 C G ZINN ROAD, THE GREENVIEW PAVILION, THORNDALE, PA 19372
(610) 380-1621
(610) 380-9765
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6000005245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294164
PA BLUE SHIELD
PA
Enumeration date
06/21/2006
Last updated
10/21/2008
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