Provider Demographics
NPI:1316980782
Name:LEVY, SETH E (MD)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:E
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:404 LIPPINCOTT DR STE 317
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:565-048-0298
Practice Address - Street 1:16 POCONO ROAD
Practice Address - Street 2:SUITE 317
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-627-2650
Practice Address - Fax:973-627-8383
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-01-06
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06882000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2185004OtherAPWU HEALTH PLAN
223297079OtherBCBS OF UTAH
NJ526293OtherMEDICARE ID
6180437002OtherCIGNA
223297079OtherBLUE SHIELD OF NJ
1K8114OtherHEALTH NET
223297079OtherHMO BLUE
NJ7943407Medicaid
NJ110208124OtherRAILROAD MEDICARE
2185044OtherAETNA US HEALTHCARE
223297079OtherBLUE CROSS OF CONNETICUT
223297079OtherHORIZON HEALTHCARE ADM
355481OtherWELLCHOICE
NJP2041252OtherOXFORD
0172503000OtherAMERIHEALTH
0172503000OtherKEYSTONE HEALTH EAST
6180437OtherCOMED HEALTHCARE
78022232970790OtherBLUE CHOICE NJ PLUS POS
CO2OtherCIGNA
223297079OtherBLUE SHIELD OF NJ