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Individual

DR. ALAN R LEVINSTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5895 TRINITY PKWY, SUITE 100, CENTREVILLE, VA 20120-1996
(703) 802-2004
(703) 802-2113
Mailing address
5895 TRINITY PKWY, SUITE 100, CENTREVILLE, VA 20120-1996
(703) 802-2004
(703) 802-2113

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-049277
VA
2084N0400X
Neurology Physician
0101-049277
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101-049277
LICENSE
VA
01
110215875
MEDICARE RAILROAD
VA
01
201662
ANTHEM
VA
05
607850-8
VA
01
832732
MDIPA OPTIMUM CHOICE
VA
01
B518
CAPITAL CARE
VA
Enumeration date
06/02/2005
Last updated
03/03/2014
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