Individual
DR. MARK EDWARD LEVENBERG
Active
Individual
DR. MARK EDWARD LEVENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS10111
FL
207NS0135X
Procedural Dermatology Physician
Primary
OS013669
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851401
BLUE SHIELD
PA
01
—
AB191
GROUP NUMBER
FL
Enumeration date
05/18/2006
Last updated
12/21/2010
Update your record
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