Individual
MARYELLEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2301 E EVESHAM RD STE 122, VOORHEES, NJ 08043-4509
(856) 770-9300
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00077401
NJ
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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