Individual
BRUCE DAVID LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-6109
(215) 707-6629
Mailing address
3425 N CARLISLE ST, 2ND FLOOR, HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD048694L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014093430007
—
PA
Enumeration date
10/12/2005
Last updated
07/13/2026
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