Provider Demographics
NPI:1629077797
Name:LEVY-KERN, MURIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:
Last Name:LEVY-KERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 GORDONS CORNER RD
Mailing Address - Street 2:SUITE 1-G
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3356
Mailing Address - Country:US
Mailing Address - Phone:732-446-3349
Mailing Address - Fax:732-410-9201
Practice Address - Street 1:225 GORDONS CORNER RD
Practice Address - Street 2:SUITE 1-G
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3356
Practice Address - Country:US
Practice Address - Phone:732-446-3349
Practice Address - Fax:732-410-9201
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58003207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6673902Medicaid
NJ6673902Medicaid
725476Medicare ID - Type Unspecified