Gary Douglas Levine in Lawrenceville - Clinical
Gary Douglas Levine - NPI 1861670283
Gary Douglas Levine is a Clinical in Lawrenceville, New Jersey. Gary Douglas Levine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Douglas Levine is 1861670283. The last update date is 2021-07-12.
Gary Douglas Levine's current location address is 22 Gordon Ave, Lawrenceville, New Jersey. You can contact this provider via phone number 984404526 and fax number 6098440518. The mailing address for Gary Douglas Levine is 22 Gordon Ave, Lawrenceville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Douglas Levine |
|---|---|
| Address | 22 Gordon Ave, Lawrenceville, New Jersey |
| Phone Number | 984404526 |
| Fax Number | 6098440518 |
| Sole Proprietor | Y |
| Credentials | MSW, LPC, |
NPI Number Detail
| NPI Number | 1861670283 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2021-07-12 |
Provider Mailing Address Detail
| Address | 22 Gordon Ave |
|---|---|
| City | Lawrenceville |
| State | New Jersey (NJ) |
| Post Code | 86481033 |
| Phone Number | 984404526 |
| Fax Number | 6098440518 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SCO5800000 |
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What is the unique 10-digit identification code assigned to Gary Douglas Levine by the Centers for Medicare & Medicaid Services?
The Gary Douglas Levine has been issued the NPI (National Provider Identifier) 1861670283, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Douglas Levine?
The Gary Douglas Levine is situated at 22 Gordon Ave, in the city of Lawrenceville, state of NJ, with the zip code 86481033.
What is the Gary Douglas Levine's specialty and taxonomy code?
The Gary Douglas Levine's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Gary Douglas Levine receive the assignment of its 1861670283 from the Centers for Medicare & Medicaid Services?
The Gary Douglas Levine was issued its 1861670283 by the Centers for Medicare & Medicaid Services on 2008-02-07.
When was the information related to Gary Douglas Levine most recently updated or refreshed?
The details pertaining to the Gary Douglas Levine, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-12.