Provider Demographics
NPI:1902859150
Name:LEVI, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:LEVI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1715
Mailing Address - Country:US
Mailing Address - Phone:856-547-0539
Mailing Address - Fax:856-547-3178
Practice Address - Street 1:210 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1715
Practice Address - Country:US
Practice Address - Phone:856-547-0539
Practice Address - Fax:856-547-3178
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06966600207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8767602Medicaid
NJ8767602Medicaid
NJHO4935Medicare UPIN