# RICHARD LEVINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GROSSMAN LEVINE LEVINE
- **Other names:** Grossman Levine DiGaetano
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750552048
- **Legal business name:** GROSSMAN LEVINE LEVINE
- **Authorized official:** DR. RICHARD TEDDY LEVINE MD (PARTNER)
- **Authorized official phone:** (609) 261-4925

## Contact information

- **Practice address:** 120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
- **Practice address phone:** (609) 261-6701
- **Practice address fax:** (609) 261-9362
- **Mailing address:** 120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
- **Mailing address phone:** (609) 261-6701
- **Mailing address fax:** (609) 261-9362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA03356800 | NJ | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2008
