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Individual

DANIEL I LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BOULEVARD, SUITE 1-300S, PHILADELPHIA, PA 19104
(215) 662-2638
Mailing address
3400 CIVIC CENTER BOULEVARD, SUITE 1-300S, PHILADELPHIA, PA 19104
(215) 662-2638

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
036111686
IL
207RN0300X
Nephrology Physician
Primary
MD442555
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036111686
IL
Enumeration date
12/14/2006
Last updated
01/02/2013
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