Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 25MA08589700 | NJ |
NPI | 1043301641 |
---|---|
Provider Name | Barry Simpson Levinson |
First Address | Elizabeth, NJ 07202-3625 |
Second Address | Elizabeth, NJ 07202-3625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 13/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0199010 | (05) | NJ |
F26568 | (02) |