Individual
GRACE B. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE STE 433, WYNNEWOOD, PA 19096-3442
(610) 896-8840
(610) 642-5148
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 896-8840
(610) 642-5148
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD468411
PA
207V00000X
Obstetrics & Gynecology Physician
MT213020
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103320060-0002
—
PA
05
—
103320060-0003
—
PA
Enumeration date
05/10/2017
Last updated
06/11/2021
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