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Individual

DR. TODD OWEN LEVENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 07974-1547
(908) 464-4600
(908) 464-4737
Mailing address
571 CENTRAL AVE STE 101, NEW PROVIDENCE, NJ 07974-1547
(908) 464-4600
(908) 464-4737

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA66963
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005730ANJ
INDIVIDUAL PTAN
NJ
01
0973728
US HEALTHCARE
NJ
01
5349261
AETNA
NJ
01
5715857
GHI
NJ
01
7129567-014
CIGNA
NJ
05
7516801
NJ
01
P2174979
OXFORD
NJ
Enumeration date
07/16/2005
Last updated
11/28/2016
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