# MEDICAL ASSOC OF MONTCLAIR

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

## Provider details

- **NPI number:** 1952446262
- **Authorized official:** DR. ROBERT LEVAI MD (SEC)
- **Authorized official phone:** (973) 748-9246

## Contact information

- **Practice address:** 123 HIGHLAND AVE, SUITE 201, GLEN RIDGE, NJ 07028-1522
- **Practice address phone:** (973) 748-9246
- **Practice address fax:** (973) 748-8755
- **Mailing address:** 123 HIGHLAND AVE, SUITE 201, GLEN RIDGE, NJ 07028-1522
- **Mailing address phone:** (973) 748-9246
- **Mailing address fax:** (973) 748-8755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA03497200 | NJ | — |
| 207R00000X | Internal Medicine Physician | 25MA07560300 | NJ | — |
| 207R00000X | Internal Medicine Physician | 32393 | NJ | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020
