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Individual

DR. CHARLES HECHT-LEAVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101041588
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007223251
VIRGINIA PREMIER
VA
05
007223251
VA
01
300013597
RAILROAD MEDICARE
VA
01
8906568
NORTH CAROLINA MEDICAID
VA
Enumeration date
11/29/2005
Last updated
04/22/2008
Update your record

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