Provider Demographics
NPI:1831147776
Name:LEVENTHAL, LINDA C (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:LEVENTHAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:385 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7700
Mailing Address - Country:US
Mailing Address - Phone:215-321-3500
Mailing Address - Fax:215-321-7172
Practice Address - Street 1:385 OXFORD VALLEY RD
Practice Address - Street 2:SUITE 312
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7700
Practice Address - Country:US
Practice Address - Phone:215-321-3500
Practice Address - Fax:215-321-7172
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD042371L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF08779Medicare UPIN