Individual
GRIGORIY LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 EVESHAM RD., VOORHEES, NJ 08043
(856) 358-4520
(856) 358-8053
Mailing address
PO BOX 874, ELMER, NJ 08318-0874
(856) 358-4520
(856) 358-8053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR11030200
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN545229
PA
Other
Enumeration date
07/13/2006
Last updated
07/09/2012
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