Provider Demographics
NPI:1720297138
Name:LEVINE, AARON D (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:D
Last Name:LEVINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0-99 PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2926
Mailing Address - Country:US
Mailing Address - Phone:201-773-9600
Mailing Address - Fax:201-625-6301
Practice Address - Street 1:0-99 PLAZA RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2926
Practice Address - Country:US
Practice Address - Phone:201-773-9600
Practice Address - Fax:201-625-6301
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00476400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor