Most Relevant Information
Provider Data
| NPI Number: | 1003801606 |
| Provider Name: | FREDERIC EVAN LEVY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 94-00559 |
Most Important Dates
| Enumeration Date: | 09/20/2005 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
2520 ABERDEEN BLVD
GASTONIA
NC
280540635
Practice Location Phone/Fax
| Phone: | 7048688400 |
| Fax: | 7048688493 |
Provider Mailing Location
2520 ABERDEEN BLVD
GASTONIA
NC
280540635
Provider Mailing Phone/Fax
| Phone: | 7048688400 |
| Fax: | 7048688493 |