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Individual

DR. EDWARD K LEVENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 FAME AVE, SUITE 235, HANOVER, PA 17331-1587
(717) 646-7011
(717) 646-7437
Mailing address
250 FAME AVE, SUITE 235, HANOVER, PA 17331-1587
(717) 646-7011
(717) 646-7437

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
D38789
MD
208800000X
Urology Physician
Primary
MD048429L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1029028840001
PA
05
786602000
MD
Enumeration date
07/03/2006
Last updated
01/29/2021
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