Provider Demographics
NPI:1205181781
Name:LEVEQUE, JOSEPH ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:LEVEQUE
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 1:777 SCUDDERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1615
Mailing Address - Country:US
Mailing Address - Phone:609-897-3945
Mailing Address - Fax:609-897-6794
Practice Address - Street 1:777 SCUDDERS MILL RD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1615
Practice Address - Country:US
Practice Address - Phone:609-897-3945
Practice Address - Fax:609-897-6794
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine