Individual
DR. MAURICE XUAN LEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
(609) 861-2164
Mailing address
404 ROCKBRIDGE CT, EGG HARBOR TOWNSHIP, NJ 08234-6013
(609) 926-0885
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA04760900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4472004
—
NJ
01
—
631834B1G
MEDICARE BILLING NO
NJ
Enumeration date
09/27/2006
Last updated
10/10/2012
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