Organization
RICHARD LEVINE
Active
Parent organization
GROSSMAN LEVINE LEVINE
Other names
Grossman Levine DiGaetano
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROSSMAN LEVINE LEVINE
Authorized official
DR. RICHARD TEDDY LEVINE MD (PARTNER)
(609) 261-4925
Entity
Organization
Contact information
Practice address
120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
(609) 261-6701
(609) 261-9362
Mailing address
120 MADISON AVE, SUITE B, MOUNT HOLLY, NJ 08060-2055
(609) 261-6701
(609) 261-9362
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA03356800
NJ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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