Provider Demographics
NPI:1376505909
Name:LEVINE, JASON EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:EDWARD
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9609 MEDICAL CENTER DR RM 2W322
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3330
Mailing Address - Country:US
Mailing Address - Phone:240-276-5557
Mailing Address - Fax:
Practice Address - Street 1:NIH/NCI/POB
Practice Address - Street 2:9000 ROCKVILLE PIKE 10-CRC RM 1W-3750
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1104
Practice Address - Country:US
Practice Address - Phone:301-594-2938
Practice Address - Fax:301-451-7010
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2021-03-22
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Provider Licenses
StateLicense IDTaxonomies
MA2173132080P0207X
NY2280452080P0207X
MDDD00649642080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology