Individual
DR. RICHARD EVAN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
663 PALISADE AVE, SUITE 303, CLIFFSIDE PARK, NJ 07010-3012
(201) 941-9400
(201) 941-5840
Mailing address
663 PALISADE AVE, SUITE 303, CLIFFSIDE PARK, NJ 07010-3012
(201) 941-9400
(201) 941-5840
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05042700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043749519
TAX ID
NJ
Enumeration date
03/05/2007
Last updated
07/08/2007
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