Individual
ANDREW LEVITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 E LAUREL RD, 1ST FLOOR, STRATFORD, NJ 08084-1362
(856) 566-6034
(856) 566-6208
Mailing address
109 E LAUREL RD, 1ST FLOOR, STRATFORD, NJ 08084-1362
(856) 566-6034
(856) 566-6208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA051901
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
MA051901
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0729400
—
NJ
Enumeration date
09/27/2006
Last updated
09/16/2015
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