Provider Demographics
NPI:1689700924
Name:LEVINE, DAVID MORRIS (MD,MPH,SCD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MORRIS
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD,MPH,SCD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:720 RUTLAND AVE
Mailing Address - Street 2:ROOM 971
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-2109
Mailing Address - Country:US
Mailing Address - Phone:410-614-4577
Mailing Address - Fax:410-614-5593
Practice Address - Street 1:720 RUTLAND AVE
Practice Address - Street 2:ROOM 971
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2109
Practice Address - Country:US
Practice Address - Phone:410-614-4577
Practice Address - Fax:410-614-5593
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00145242083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine