Provider Demographics
NPI:1063635670
Name:DR MORRIS A LEVIN ASSOC INC
Entity Type:Organization
Organization Name:DR MORRIS A LEVIN ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-623-7747
Mailing Address - Street 1:201 N BISHOP AVENUE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018
Mailing Address - Country:US
Mailing Address - Phone:610-623-7747
Mailing Address - Fax:610-284-2470
Practice Address - Street 1:201 N BISHOP AVENUE
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018
Practice Address - Country:US
Practice Address - Phone:610-623-7747
Practice Address - Fax:610-284-2470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S002716L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00612200Medicaid
PA00612200Medicaid
PA041917Medicare ID - Type Unspecified