Individual
DR. RICHARD TEDDY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
(609) 261-4925
(609) 261-9362
Mailing address
3458 NEELEY ROAD, 305TH MEDICAL GROUP, MCGUIRE AFB, NJ 08641
(609) 261-6701
(609) 261-9362
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA03356800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000163008
HIGHMARK BLUE SHIELD
NJ
01
—
0016729
AETNA HMO
NJ
01
—
0085815000
AMERIHEALTH HMO
NJ
05
—
2284006
—
NJ
Enumeration date
06/26/2006
Last updated
01/23/2009
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