Individual
MARK K LEVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(586) 690-1616
(856) 690-1089
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(586) 690-1616
(856) 690-1089
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03873100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425207
—
NJ
Enumeration date
10/04/2005
Last updated
07/21/2022
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