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NPI Code Detail

MEDICARE: DR. MAURICE XUAN LEVAN M.D.

MEDICARE: DR. MAURICE XUAN LEVAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician25MA04760900NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1631834B1GOTHERNJMEDICARE BILLING NO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770674905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICE XUAN LEVAN M.D.
Provider Business Mailing Address
First Line : 404 ROCKBRIDGE CT
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-6013
Country : US
Telephone Number : 609-926-0885
Fax Number :
Provider Business Practice Location Address
First Line : 1175 DEHIRSCH AVE
Second Line :
City : WOODBINE
State : NJ
Zip : 08270-2401
Country : US
Telephone Number : 609-861-2164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 10/10/2012

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