Organization
NEUROMED DIAGNOSTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE V LEVENSTEIN M.D. (PRESIDENT)
(877) 558-8778
Entity
Organization
Contact information
Practice address
1 N BACTON HILL RD, SUITE 208, FRAZER, PA 19355-1047
(877) 558-8778
Mailing address
1 N BACTON HILL RD, SUITE 208, FRAZER, PA 19355-1047
(877) 558-8778
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD425455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016843320001
—
PA
Enumeration date
10/02/2015
Last updated
10/02/2015
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