| NPI | 1912030024 |
|---|---|
| Former Legal Business Name | DAVID J. LEVINE,D.P.M.,C.PED.,LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID J LEVINE Owner 301-696-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MD 01018) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-04-30 |