Individual
DR. EDWARD A LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD, MAIL CODE AVW3-1, AVON, OH 44011-1390
(440) 695-4000
(440) 695-4389
Mailing address
31699 TRADEWINDS DR, AVON LAKE, OH 44012-2930
(216) 702-2315
(440) 695-4389
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-063360
OH
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
35-063360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975477
—
OH
01
—
341775196-00
BWC
OH
Enumeration date
11/07/2005
Last updated
03/24/2015
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