Organization
DAVID J LEVINE DPM C PED
Active
Organization
DAVID J LEVINE DPM C PED
Active
Other names
David J. Levine,D.P.M.,C.Ped.,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J LEVINE D.P.M. (OWNER)
(301) 696-0818
Entity
Organization
Contact information
Practice address
63 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4384
(301) 696-0181
(301) 696-8872
Mailing address
63 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4396
(301) 696-0181
(301) 696-8872
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
01018
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480030842
MEDICARE RAILROAD
MD
Enumeration date
03/14/2007
Last updated
04/30/2008
Update your record
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