Provider Demographics
NPI:1548344799
Name:LEVITT, ROBERT SAUL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SAUL
Last Name:LEVITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE SOMERSET NETWORK
Mailing Address - Street 2:P.O. BOX 70
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07091
Mailing Address - Country:US
Mailing Address - Phone:908-317-6807
Mailing Address - Fax:908-317-6896
Practice Address - Street 1:516 EASTON AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-2038
Practice Address - Country:US
Practice Address - Phone:732-828-2600
Practice Address - Fax:732-828-3889
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA21594207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ106155Medicare ID - Type Unspecified
NJE73239Medicare UPIN