| NPI | 1003845728 |
|---|---|
| Former Legal Business Name | GARY J LEVIN MD PC |
| Entity Type | Organization |
| Authorized Contact | DREW RAYMOND CHRONISTER Vice President/Owner 610-384-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA MD015502E) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-06-14 |