Provider Demographics
NPI:1528170180
Name:LEVIN, VICTORIA A (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:A
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4735 OGLETOWN STANTON RD
Mailing Address - Street 2:MAP 2 SUITE 1116
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2072
Mailing Address - Country:US
Mailing Address - Phone:302-368-8653
Mailing Address - Fax:302-368-8836
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MAP 2 SUITE 1116
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-368-8653
Practice Address - Fax:302-368-8836
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0003698208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000328501Medicaid
DE4254170OtherAETNA USHC
DE856325OtherMAMSI
DE0236775000OtherAMERIHEALTH HMO
DE45428OtherCOVENTRY
DE464890OtherAMERIHEALTH PPO
DE(0000)558701OtherDIAMOND STATE PARTNERS
DE0000328501OtherDPCI
DE510110041OtherBCBS
DE783F26OtherBCBS DE
DEK899OtherBCBS MD
DE0236775000OtherKEYSTONE
DEG45882OtherMIDATLANTIC
DEG45882Medicare UPIN
DE0236775000OtherKEYSTONE