Provider Demographics
NPI:1497014070
Name:LEVIN, ANDREW M (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:LEVIN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4190 CITY AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1633
Mailing Address - Country:US
Mailing Address - Phone:215-871-6425
Mailing Address - Fax:215-871-6490
Practice Address - Street 1:4190 CITY AVE STE 330
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1633
Practice Address - Country:US
Practice Address - Phone:215-871-6425
Practice Address - Fax:215-871-6490
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2020-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS018098204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM