Lavine, Marc A
Lavine, Marc A is an individual health care provider with primary practice located at 3998 Red Lion Rd Ste 305, Philadelphia PA 19114-1436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lavine, Marc A can be contacted via phone (215) 632-8882.Contact Information
Primary practice address
3998 Red Lion Rd Ste 305
Philadelphia PA 19114-1436
Phone: (215) 632-8882
Fax: (215) 632-2232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD070920L | Pennsylvania |
Profile Details
| NPI number | 1801899281 |
|---|---|
| LBN Legal business name | Lavine, Marc A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Nov 5th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801899281 | NPPES |
| Pennsylvania | MEDICAID | 0017988220001 | |
| Pennsylvania | Other | 127376 | |
| Pennsylvania | Other | 0800550000 | |
| Pennsylvania | Other | P01043213 | |
| Pennsylvania | Other | 232691968 | |
| Pennsylvania | Other | 30106257 | |
| Pennsylvania | Other | 8317363 |
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