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Contact Information

ELLEN LEVAN, MD, PC
23 BRANFORD PL
NEWARK, NJ07102-2711
 Phone: 973-424-0080
 Fax: 973-424-0088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Licensed Practical Nurse

164W00000X
 

Medical

363AM0700X 97 Physician Assistant
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELLEN LEVAN MD PC · (Female)

NPI Number 1952615247
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2010
Last updated 09/30/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA04281900
  • NJ License # 25MA05569500
  • NJ License # 25MA07184800
  • NJ License # 25MP00016700
  • NJ License # 26NP05605400
  • NJ Medicaid 7528001
  • NJ Medicaid 8449007
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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