ELLEN LEVAN, MD, PC

NEWARK, NJ
NPI1952615247
Doing Business AsBRANFORD MEDICAL CENTER
Entity TypeOrganization
Authorized ContactELLEN LEVAN
Physician
973-424-0080
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA07184800)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: NJ  26NP05605400)
363AM0700X Physician Assistant, Medical
(Licence: NJ  25MP00016700)
207R00000X Internal Medicine
(Licence: NJ  25MA04281900)
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: NJ  25MA05569500)
Enumeration Date2010-07-29
Last Update Date2010-09-30
Business Address
ELLEN LEVAN, MD, PC
23 BRANFORD PL
NEWARK, NJ 07102-2711
Phone number: 973-424-0080
Mailing Address
ELLEN LEVAN, MD, PC
23 BRANFORD PL
NEWARK, NJ 07102-2711
Phone number: 973-424-0080