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Individual

ALEXANDER B. LEVITOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-5758
(757) 446-7452
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5758
(757) 446-7452

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101-233685
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-029
TRICARE/CHAMPUS
VA
01
10052670
SENTARA/OPTIMA HEALTH
VA
05
1780675934
VA
01
379294
ANTHEM BC/BS
VA
05
5878039
VA
05
5913416
NC
01
PAR
CORVEL/CORCARE
VA
Enumeration date
11/04/2005
Last updated
07/25/2011
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