Provider Demographics
NPI:1215011366
Name:LEVESQUE, MARC (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:LEVESQUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5889 FORBES AVENUE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217
Mailing Address - Country:US
Mailing Address - Phone:412-586-3550
Mailing Address - Fax:412-586-3540
Practice Address - Street 1:5889 FORBES AVENUE, SUITE 220
Practice Address - Street 2:UPMC LUPUS CENTER OF EXCELLENCE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:412-586-3350
Practice Address - Fax:412-386-3540
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD-435565207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2279789Medicare ID - Type Unspecified
NC8912377Medicare ID - Type Unspecified
H09448Medicare ID - Type Unspecified