Provider Demographics
NPI:1982666293
Name:LEVITT, ALAN T (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:T
Last Name:LEVITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 FULD ST
Mailing Address - Street 2:SUITE 201 MEDICAL ARTS BUILDING
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-5247
Mailing Address - Country:US
Mailing Address - Phone:609-695-4422
Mailing Address - Fax:609-695-4358
Practice Address - Street 1:40 FULD ST
Practice Address - Street 2:SUITE 201 MEDICAL ARTS BUILDING
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-5247
Practice Address - Country:US
Practice Address - Phone:609-695-4422
Practice Address - Fax:609-695-4358
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2007-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03129900207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E13157Medicare UPIN
132387APWMedicare PIN