Individual
DR. JOSEPH R LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2758 CENTURY BLVD, SUITE 1, WYOMISSING, PA 19610-3345
(610) 375-0500
(610) 373-0375
Mailing address
2758 CENTURY BLVD, SUITE 1, WYOMISSING, PA 19610-3345
(610) 375-0500
(610) 373-0375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD058074L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015885760002
—
PA
01
—
01170602
KEYSTONE HEALTH PLAN CENT
PA
01
—
0880104000
KEYSTONE HEALTH PLAN EAST
PA
01
—
5011168
AETNA
PA
01
—
LE847082
HIGH BLUE SHIELD
PA
Enumeration date
07/18/2006
Last updated
02/01/2008
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