Provider Demographics
NPI:1366494296
Name:LEVINSTEIN, GENE V (MD)
Entity Type:Individual
Prefix:
First Name:GENE
Middle Name:V
Last Name:LEVINSTEIN
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 1:106 STATESMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3581
Mailing Address - Country:US
Mailing Address - Phone:215-688-8967
Mailing Address - Fax:
Practice Address - Street 1:451 W CHEW ST
Practice Address - Street 2:SUITE 405
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3472
Practice Address - Country:US
Practice Address - Phone:610-776-4746
Practice Address - Fax:610-770-3452
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4254552081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016843320001Medicaid
PA1016843320001Medicaid
PA091077MWAMedicare ID - Type Unspecified