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Individual

DR. DOUGLAS DREW LEVENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
650 FROM RD STE 170, PARAMUS, NJ 07652-3517
(201) 722-9850
(201) 722-9851
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25MA08795100
NJ
207YS0123X
Facial Plastic Surgery Physician
251990
NY
207YS0123X
Facial Plastic Surgery Physician
Primary
25MA08795100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA08795100
LICENSE
NJ
Enumeration date
05/17/2007
Last updated
07/25/2025
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