Individual
STEPHEN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 04 WADSWORTH AVENUE, PHILADELPHIA, PA 19150
(215) 753-6623
(215) 753-9448
Mailing address
101 E OLNEY AVE, 400, PHILADELPHIA, PA 19120-2421
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD025228E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011618200004
—
PA
Enumeration date
01/26/2006
Last updated
11/29/2010
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