Individual
DANIELLE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65429
CT
Other
Enumeration date
03/23/2017
Last updated
07/07/2020
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