Individual
DR. PHYLLIS LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 MCGUIRK LN, WEST ORANGE, NJ 07052-2250
(973) 243-9496
Mailing address
24 MCGUIRK LN, WEST ORANGE, NJ 07052-2250
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
178560
NY
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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