Provider Demographics
NPI:1568468205
Name:LEBOVITZ, CHARLES NEAL (M D)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:NEAL
Last Name:LEBOVITZ
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3424 WILLIAM PENN HWY
Mailing Address - Street 2:STE 222
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5444
Mailing Address - Country:US
Mailing Address - Phone:412-824-4660
Mailing Address - Fax:412-824-4665
Practice Address - Street 1:3424 WILLIAM PENN HWY
Practice Address - Street 2:STE 222
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5444
Practice Address - Country:US
Practice Address - Phone:412-824-4660
Practice Address - Fax:412-824-4665
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009553E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007384630006Medicaid
PA90947OtherTHREE RIVERS HEALTH PLAN
PA128409OtherBLUE SHIELD
PA14131OtherUPMC HEALTH PLAN
PA001837436OtherHIGHMARK
PA020048162OtherRAILROAD MEDICARE
PA0007384630007Medicaid
PA2429465OtherAETNA
PA1019028OtherGATEWAY HEALTH PLAN
PA001837436OtherHIGHMARK
PA020048162OtherRAILROAD MEDICARE