Individual
DR. LEONARD LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, ERIE AVE AT FRONT ST, PHILADELPHIA, PA 19134
(215) 427-6694
Mailing address
ERIE AVE AT FRONT ST, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134
(215) 427-6694
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD073928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012537280001
—
PA
Enumeration date
07/11/2006
Last updated
07/08/2007
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