Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 0101039712 | VA |
NPI | 1104029941 |
---|---|
Provider Name | Dr. Norman William Levin |
First Address | Aldie, VA 20105-0465 |
Second Address | Aldie, VA 20105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 08/07/2007 |