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NPI Code Detail

MEDICARE: DR. NATHANIEL E LEBOWITZ M.D.

MEDICARE: DR. NATHANIEL E LEBOWITZ 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
1207RC0000XCardiovascular Disease Physician25MA06725600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063418994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHANIEL E LEBOWITZ M.D.
Provider Business Mailing Address
First Line : 2200 FLETCHER AVE
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-5005
Country : US
Telephone Number : 201-461-6200
Fax Number : 201-461-7204
Provider Business Practice Location Address
First Line : 2200 FLETCHER AVE
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-5005
Country : US
Telephone Number : 201-461-6200
Fax Number : 201-461-7204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 06/25/2010

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