Individual
DR. LEVI MULLADZHANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 FELLOWSHIP RD STE 102, MOUNT LAUREL, NJ 08054-3419
(856) 380-1768
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10887500
NJ
207L00000X
Anesthesiology Physician
MD474332
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
12/02/2023
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