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DR. MARVIN H. LEVICK M.D.

Methadone >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1285833509

Individual Registrant:
DR. MARVIN H. LEVICK M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
2453 W PIKE ST  HOUSTON, PA 15342-1160 US
Tel: 724-873-5655  Fax: 724-873-5656

Contact information for business:
2453 W PIKE ST  HOUSTON, PA 15342-1160 US
Tel: 724-873-5655  Fax: 724-873-5656

Registration Information:
NPI: 1285833509
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM2800XAmbulatory Health Care Facilities
Clinic/Center
Methadone
N261QM2800XAmbulatory Health Care Facilities
Clinic/Center
PAMD027797L
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
PAMD027797L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00820974PA05




HEALTH CARE JOBS PA - Page 1



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