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DR. MARVIN H. LEVICK M.D.
Methadone >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1285833509
Individual Registrant:DR. MARVIN H. LEVICK M.D.
Gender: M
Sole Proprietor
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
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
Tel: 724-873-5655 Fax: 724-873-5656
Registration Information:
NPI: 1285833509
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 261QM2800X | Ambulatory Health Care Facilities Clinic/Center Methadone | ||
| N | 261QM2800X | Ambulatory Health Care Facilities Clinic/Center | PA | MD027797L |
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | PA | MD027797L |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00820974 | PA | 05 |
