Healthcare Provider Details

I. General information

NPI: 1619971132
Provider Name (Legal Business Name): HOWARD ALLAN LEVITE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 05/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 CHRIS GAUPP DR
GALLOWAY NJ
08205-4460
US

IV. Provider business mailing address

318 CHRIS GAUPP DR
GALLOWAY NJ
08205-4460
US

V. Phone/Fax

Practice location:
  • Phone: 609-404-9900
  • Fax: 909-404-3653
Mailing address:
  • Phone: 609-404-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA07517400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number146445
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number25MA07517400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: