Provider Demographics
NPI:1356338586
Name:LEVIN, STEVEN P (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:P
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 NEWTOWN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5206
Mailing Address - Country:US
Mailing Address - Phone:215-674-3337
Mailing Address - Fax:215-674-4247
Practice Address - Street 1:205 NEWTOWN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5206
Practice Address - Country:US
Practice Address - Phone:215-674-3337
Practice Address - Fax:215-674-4247
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039161E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4220549OtherAETNA PPO
PA1866300OtherAETNA HMO
0422626000OtherKHPE
E63781Medicare UPIN