Individual
DR. GREGORY T LEVICKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
Mailing address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0050517
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012
BCBS BLUECHOICE
DC
05
—
299401100
—
MD
Enumeration date
06/15/2006
Last updated
04/28/2023
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