NPI 1356335558

Jonathan Marc Levine, MD

Practitioner Facial Plastic Surgery Physician Riverdale, NJ

Practice location

Address: 51 State Rt 23, Riverdale, NJ 07457-1625
Phone: (973) 831-1220
Fax: (973) 831-0029

Registered specialties (2)

Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X Licence MA07891100 (NJ)

Other Otolaryngology providers in New Jersey →

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence MA07891100 (NJ)

Registry record

NPI: 1356335558
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2005
Record last updated: 1 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.