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Contact Information

KENNETH A LEVITSKY, MD
28-04 BROADWAY
GARDEN STATE ORTHOPAEDIC ASSOCIATES
FAIR LAWN, NJ07410-3913
 Phone: 201-791-4434
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH A LEVITSKY · (Male)

NPI # 1629045455
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 07/02/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05941700
  • NJ License # 25MA0941700
  • NJ Medicaid 5596408
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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