# GROSSMAN, LEVINE, DIGAETANO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275569709
- **Authorized official:** DR. RICHARD TEDDY LEVINE M.D. (MANAGER)
- **Authorized official phone:** (609) 261-6701

## Contact information

- **Practice address:** 120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
- **Practice address phone:** (609) 261-4925
- **Practice address fax:** (606) 261-9362
- **Mailing address:** 120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
- **Mailing address phone:** (609) 261-4925
- **Mailing address fax:** (606) 261-9362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020