Doctor Name: | DR. STEPHANIE LEVINE |
NPI Number: | 1649214818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 25MB06396800 |
Business Practice Address: | 2345 Lamington Rd Bedminster, NJ - 079212612 |
Business Phone Number: | 9087255530 |
Business Fax Number: | 9082536559 |
Mailing Address: | 3322 Route 22, Building 10, Suite 1002 BRANCHBURG |
State: | NJ |
Postal Code: | 088763476 |
Phone Number: | 9087255530 |
Fax Number: | 9082536559 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MB06396800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |