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Organization

JOSHUA L LEVINE MD NJ PC

Active
Parent organization
JOSHUA L LEVINE MD PC
Other names
Center for Breast Reconstruction
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOSHUA L LEVINE MD PC
Authorized official
DR. KIMBERLY CARROLL (MANAGER)
(732) 769-2557
Entity
Organization

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(732) 769-2557
(732) 361-2479
Mailing address
1601 ROUTE 35 UNIT 298, MIDDLETOWN, NJ 07748-6711
(732) 769-2557
(732) 361-2479

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA08711800
NJ

Other

Enumeration date
12/19/2017
Last updated
03/17/2018
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