Organization
NJ MOBILE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV LEVIN (DIRECTOR OF OPERATIONS)
(212) 595-0005
Entity
Organization
Contact information
Practice address
105 RIVER AVE STE 103, LAKEWOOD, NJ 08701-4267
(212) 595-0005
Mailing address
67 HOLLY HILL LN STE 102, GREENWICH, CT 06830-6072
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0588857
—
NJ
Enumeration date
08/18/2020
Last updated
08/18/2020
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