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NPI Code Detail

MEDICARE: STEPHEN R LEVISS MD

MEDICARE: STEPHEN R LEVISS 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
1207VG0400XGynecology Physician25431NJ

General Provider Information

NPI Number : 1477546315
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN R LEVISS MD
Provider Business Mailing Address
First Line : 50 CHERRY HILL RD
Second Line : SUITE 303
City : PARSIPPANY
State : NJ
Zip : 07054-1113
Country : US
Telephone Number : 973-335-8500
Fax Number : 973-335-8429
Provider Business Practice Location Address
First Line : 17 S WARREN ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-4506
Country : US
Telephone Number : 973-328-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 02/29/2012

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Directions to “ STEPHEN R LEVISS MD” Practice Location

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