Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 25MA03812000 | NJ |
NPI | 1174563027 |
---|---|
Provider Name | Dr. Joel W Levitt |
First Address | Morristown, NJ 07960-6929 |
Second Address | West Orange, NJ 07052-1198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 21/10/2008 |