Provider Demographics
NPI:1932267408
Name:LEVIN, SUSAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:M
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 S FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2522
Mailing Address - Country:US
Mailing Address - Phone:201-934-0043
Mailing Address - Fax:201-934-6217
Practice Address - Street 1:50 SOUTH FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSY
Practice Address - State:NJ
Practice Address - Zip Code:07446
Practice Address - Country:US
Practice Address - Phone:201-934-0043
Practice Address - Fax:201-934-6217
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2016-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA066461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine