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Individual

DR. JONATHAN A LEVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1401 BROAD ST, CLIFTON, NJ 07013-4236
(973) 759-9000
(973) 751-3730
Mailing address
433 CENTRAL AVE, WESTFIELD, NJ 07090-2520
(973) 759-9000
(973) 759-2487

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MAO6867000
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MA06867000
NJ

Other

Enumeration date
05/27/2005
Last updated
04/30/2024
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