Provider Demographics
NPI:1154357689
Name:LEVITTOWN FAMILY MEDICAL CENTER, P.C.
Entity type:Organization
Organization Name:LEVITTOWN FAMILY MEDICAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-946-8111
Mailing Address - Street 1:31 SILO HILL DR
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1146
Mailing Address - Country:US
Mailing Address - Phone:215-942-0522
Mailing Address - Fax:
Practice Address - Street 1:49 ROLLING LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-1112
Practice Address - Country:US
Practice Address - Phone:215-946-8111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty