Organization
JONATHAN B LEVYN, DO-PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN B LEVYN D.O (OWNER)
(215) 634-5481
Entity
Organization
Contact information
Practice address
3402 F ST, PHILADELPHIA, PA 19134-1225
(215) 634-5481
Mailing address
3402 F ST, PHILADELPHIA, PA 19134-1225
(215) 634-5481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA003971
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001089629-0001
—
PA
Enumeration date
10/28/2016
Last updated
10/28/2016
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