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Individual

DAVID LEVITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
JIMMY LEEDS RD, POMONA, NJ 08240
(609) 652-1000
Mailing address
14 PARVIN DR, PITTSGROVE, NJ 08318-4020
(609) 335-1679

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04464700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1657909
NJ
Enumeration date
06/20/2005
Last updated
07/08/2007
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