Individual
DR. BRYAN H LEVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 OLD MARLTON PIKE W, SUITE 4, MARLTON, NJ 08053-2098
(609) 662-5437
(609) 858-6120
Mailing address
475 OLD MARLTON PIKE W, SUITE 4, MARLTON, NJ 08053-2098
(609) 662-5437
(609) 858-6120
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA06375700
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA06375700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7469608
—
NJ
Enumeration date
10/25/2005
Last updated
01/22/2021
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