Organization
KETAMINE TREATMENT CENTERS OF PRINCETON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN P LEVINE M.D. (MANAGING MEMBER)
(917) 838-2296
Entity
Organization
Contact information
Practice address
800 BUNN DR, SUITE 304, PRINCETON, NJ 08540-1968
(609) 955-4948
Mailing address
800 BUNN DR, SUITE 304, PRINCETON, NJ 08540-1968
(609) 955-4948
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08373700
NJ
Other
Enumeration date
05/24/2014
Last updated
06/14/2019
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