Individual
WILLIAM J LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12070 OLD LINE CTR, SUITE 102, WALDORF, MD 20602-2513
(301) 870-4100
(301) 870-5109
Mailing address
12070 OLD LINE CTR, SUITE 102, WALDORF, MD 20602-2513
(301) 870-4100
(301) 870-5109
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0033004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400751400
—
MD
Enumeration date
07/03/2006
Last updated
07/08/2007
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