Individual
ABRAHAM JOSEPH LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
780 CEDAR LN, TEANECK, NJ 07666-1706
(201) 836-5333
Mailing address
56 CAMPEAU PL, BERGENFIELD, NJ 07621-3324
(516) 659-7953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02800400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
07/23/2020
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