Provider Demographics
NPI:1962536888
Name:LEVY, BRAHMAN BERNARD (MD)
Entity type:Individual
Prefix:DR
First Name:BRAHMAN
Middle Name:BERNARD
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 ELIOT DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4134
Mailing Address - Country:US
Mailing Address - Phone:856-424-6594
Mailing Address - Fax:856-435-4626
Practice Address - Street 1:37 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1520
Practice Address - Country:US
Practice Address - Phone:856-435-2680
Practice Address - Fax:856-435-4626
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA54363207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine