Individual
MR. AARON DAVID LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL UNDERSEA MEDICAL INSTITUTE 159 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874
Mailing address
NAVAL UNDERSEA MEDICAL INSTITUTE 159 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
6969696969
CT
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
IDC
CT
Enumeration date
11/11/2009
Last updated
11/11/2009
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