Organization
PROSPECT WOMEN'S MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN H. LEVAT MD (PRESIDENT)
(201) 342-1600
Entity
Organization
Contact information
Practice address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 342-1600
(201) 342-2280
Mailing address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 342-1600
(201) 342-2280
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05630700
NJ
207VX0000X
Obstetrics Physician
25MA05630700
NJ
208600000X
Surgery Physician
25MA05630700
NJ
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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