Individual
CHARLES D. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3610
(732) 390-0030
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA05734900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05734900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5213606
—
NJ
Enumeration date
09/29/2006
Last updated
07/26/2013
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