Individual
GARY H. LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 LIPPINCOTT DRIVE, SUITE E, MARLTON, NJ 08053-4168
(856) 983-1900
(856) 983-1914
Mailing address
406 LIPPINCOTT DR STE E, MARLTON, NJ 08053-4168
(856) 983-1900
(856) 893-5110
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA4219800
NJ
207RG0100X
Gastroenterology Physician
MA04219800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091426000
AMERIHEALTH
—
05
—
0931004
—
NJ
05
—
2494604
—
NJ
Enumeration date
01/09/2006
Last updated
02/05/2024
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