Provider Demographics
NPI:1003091406
Name:LEVINSON, KATHARINE TAYLOR (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:TAYLOR
Last Name:LEVINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1012 LAUREL OAK RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3505
Mailing Address - Country:US
Mailing Address - Phone:267-648-2681
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:34TH ST AND CIVIC CTR BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1000
Practice Address - Fax:215-481-8795
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232670208000000X
PAMD440207208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics