Individual
DR. JASON ADAM LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
261 KINGSLAND TER, SOUTH ORANGE, NJ 07079-1468
(732) 616-4502
Mailing address
261 KINGSLAND TER, SOUTH ORANGE, NJ 07079-1468
(732) 616-4502
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA01802000
NJ
Other
Enumeration date
08/07/2018
Last updated
11/19/2019
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