Individual
MRS. SHERRI A LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2100
Mailing address
651 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1600
(973) 251-1086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104724
FL
363AM0700X
Medical Physician Assistant
Primary
25MP00223500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18777
BCBS
FL
05
—
268350400
—
FL
05
—
269361500
—
FL
Enumeration date
09/25/2008
Last updated
02/02/2011
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