Provider Demographics
NPI:1881796688
Name:LEVY, STUART D (DO)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:D
Last Name:LEVY
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1515 WEST CHESTER PKE
Mailing Address - Street 2:UNIT B4
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382
Mailing Address - Country:US
Mailing Address - Phone:610-431-3920
Mailing Address - Fax:610-431-3657
Practice Address - Street 1:1515 WEST CHESTER PKE
Practice Address - Street 2:UNIT B4
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382
Practice Address - Country:US
Practice Address - Phone:610-431-3920
Practice Address - Fax:610-431-3657
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA05003127L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LE161540Medicare ID - Type Unspecified
D68813Medicare UPIN