Levenberg, Mark Edward

Levenberg, Mark Edward is an individual health care provider with primary practice located at 1591 Medical Dr , Pottstown PA 19464-3224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Levenberg, Mark Edward can be contacted via phone (610) 326-8005.

Contact Information

Primary practice address
1591 Medical Dr Pottstown PA 19464-3224
Phone: (610) 326-8005
Fax: (610) 327-9629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS10111 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X OS013669 Pennsylvania

Profile Details

NPI number 1982657342
LBN Legal business name Levenberg, Mark Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 21st, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982657342 NPPES
Pennsylvania Other 1851401 BLUE SHIELD
Pennsylvania Other AB191 BLUE SHIELD

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