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Organization

PROGRESSIVE PEDIATRIC ENDOCRINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL B LEVINE MD (PEDIATRIC ENDOCRINOLOGIST)
(201) 942-6538
Entity
Organization

Contact information

Practice address
90 PROSPECT AVE, HACKENSACK, NJ 07601-1909
(201) 342-6538
(201) 342-9569
Mailing address
90 PROSPECT AVE, HACKENSACK, NJ 07601-1909
(201) 342-6538
(201) 342-9569

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MA06077500
NJ

Other

Enumeration date
09/02/2015
Last updated
09/02/2015
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