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1205834140

NPI Code Detail

MEDICARE: GABRIEL S LEVI MD

MEDICARE: GABRIEL S LEVI MD

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	188765	NY
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	25MA10812200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A400062328	OTHER	NY	NGS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205834140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL S LEVI MD

Provider Business Mailing Address
First Line	:	1 DIAMOND HILL RD
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:
Fax Number	:	770-666-9097

Provider Business Practice Location Address
First Line	:	1 DIAMOND HILL RD FL G
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:	908-277-8699
Fax Number	:	908-673-7388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/03/2023

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Directions to “ GABRIEL S LEVI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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