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Individual

JUSTIN J LEVINE

Active
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Individual

JUSTIN J LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
237757
NY
2085R0202X
Diagnostic Radiology Physician
30090
WV
2085R0202X
Diagnostic Radiology Physician
MD19449
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0440726
OH
05
1639369150
WV
Enumeration date
07/31/2007
Last updated
05/23/2024
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