Organization
RADIOLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HECHT-LEAVITT M.D. (PRESIDENT MEDICAL DIRECTOR)
(757) 671-1144
Entity
Organization
Contact information
Practice address
4668 PEMBROKE BLVD, SUITE 117, VIRGINIA BEACH, VA 23455-6423
(757) 671-1144
(757) 671-7299
Mailing address
4668 PEMBROKE BLVD, SUITE 117, VIRGINIA BEACH, VA 23455-6423
(757) 671-1144
(757) 965-4162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185902
ANTHEM BC/BS OF VA
VA
01
—
7962738
AETNA GROUP NUMBER
VA
Enumeration date
08/30/2006
Last updated
08/10/2010
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