Individual
DR. STEPHANIE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 MADISON AVE FL 2, MORRISTOWN, NJ 07960-7337
(973) 971-5199
(973) 290-7099
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MB06396800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7208006
—
NJ
Enumeration date
06/16/2006
Last updated
02/11/2020
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