Individual
KEITH LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 RIVER RD STE M2, MONTVILLE, NJ 07045-8941
(973) 263-8000
Mailing address
150 RIVER RD STE M2, MONTVILLE, NJ 07045-8941
(973) 263-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00656400
NJ
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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