| Organization Name: | CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC |
| NPI Number: | 1306950704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE JOHNSON (SR STAFFING COORDINATOR) |
| Mailing Address: | 1400 N Providence Rd Suite 1025 Media |
| State: | PA US |
| Postal Code: | 190632043 |
| Phone Number: | 6108928991 |
| Fax Number: | 6108928966 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |