Provider Demographics
NPI:1720040306
Name:LEVY, JEFFREY AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:AARON
Last Name:LEVY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:12200 WARWICK BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2344
Mailing Address - Country:US
Mailing Address - Phone:757-534-9988
Mailing Address - Fax:703-560-7218
Practice Address - Street 1:2922 TELESTAR CT
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1206
Practice Address - Country:US
Practice Address - Phone:703-584-2040
Practice Address - Fax:703-560-7218
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201101207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery