DAVID J LEVINE DPM C PED NPI 1912030024

NPI Information

DAVID J LEVINE DPM C PED is a primary podiatric medicine podiatrist in Frederick, MD. DAVID J LEVINE DPM C PED NPI is 1912030024. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is David J. Levine,d.p.m.,c.ped.,llc.

The provider's business location address is:

63 THOMAS JOHNSON DR
SUITE C
FREDERICK, MD
ZIP 21702-384
Phone: (301) 696-0181
Fax: (301) 696-8872

The provider's authorized official is David J Levine .
The authorized official title is Owner and has the following contact phone number (301) 696-0818.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 4/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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