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Individual

DR. MICHAEL JESSE LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H

Contact information

Practice address
4374 NEW TOWN AVE, STE 100, WILLIAMSBURG, VA 23188-2865
(757) 259-1900
(757) 259-1901
Mailing address
4374 NEW TOWN AVE, STE 100, WILLIAMSBURG, VA 23188-2865
(757) 259-1900
(757) 259-1901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101225817
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0101225817
VA

Other

Enumeration date
03/28/2007
Last updated
11/16/2012
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