# PROSPECT WOMEN'S MEDICAL GROUP, P.C.

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

## Provider details

- **NPI number:** 1760719793
- **Authorized official:** ROBIN H. LEVAT MD (PRESIDENT)
- **Authorized official phone:** (201) 342-1600

## Contact information

- **Practice address:** 120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
- **Practice address phone:** (201) 342-1600
- **Practice address fax:** (201) 342-2280
- **Mailing address:** 120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
- **Mailing address phone:** (201) 342-1600
- **Mailing address fax:** (201) 342-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA05630700 | NJ | Yes |
| 207VX0000X | Obstetrics Physician | 25MA05630700 | NJ | — |
| 208600000X | Surgery Physician | 25MA05630700 | NJ | — |

## Other

- **Enumeration date:** 11/12/2009
- **Last updated:** 11/12/2009