Individual
DAVID LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 W JIMMIE LEEDS RD, STE 1100, GALLOWAY, NJ 08205-9406
(609) 677-9729
Mailing address
72 W JIMMIE LEEDS RD, STE 1100, GALLOWAY, NJ 08205-9406
(609) 677-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08738500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8231907
—
NJ
01
—
P00884973
RR MEDICARE
NJ
01
—
P00884989
RR MEDICARE
NJ
01
—
P00884990
RR MEDICARE
NJ
Enumeration date
03/04/2009
Last updated
04/05/2012
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