Provider Demographics
NPI:1760445696
Name:LEVY, STANLEY B (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:B
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:891 WILLOW DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7077
Mailing Address - Country:US
Mailing Address - Phone:919-942-3106
Mailing Address - Fax:919-967-1674
Practice Address - Street 1:891 WILLOW DR
Practice Address - Street 2:SUITE 1
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7077
Practice Address - Country:US
Practice Address - Phone:919-942-3106
Practice Address - Fax:919-967-1674
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2011-03-02
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Provider Licenses
StateLicense IDTaxonomies
NC19508207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-51775Medicaid
NC89-51775Medicaid
NCC85140Medicare UPIN