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Organization

MEDICAL ASSOC OF MONTCLAIR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT LEVAI MD (SEC)
(973) 748-9246
Entity
Organization

Contact information

Practice address
123 HIGHLAND AVE, SUITE 201, GLEN RIDGE, NJ 07028-1522
(973) 748-9246
(973) 748-8755
Mailing address
123 HIGHLAND AVE, SUITE 201, GLEN RIDGE, NJ 07028-1522
(973) 748-9246
(973) 748-8755

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03497200
NJ
207R00000X
Internal Medicine Physician
25MA07560300
NJ
207R00000X
Internal Medicine Physician
Primary
32393
NJ

Other

Enumeration date
02/21/2007
Last updated
08/22/2020
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