Sandra Moallem M.D

NPI 1063648699 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063648699
Gender Female
Enumeration Date 06/10/2009
Last Updated 03/02/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
CHESAPEAKE VA, 23321-5260, US
Phone (757) 967-8622
Fax (757) 686-0541
Business Location
PO BOX 7068
PORTSMOUTH VA, 23707-0068, US
Phone (757) 686-3508
Fax (757) 686-0541
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Sandra Moallem M.D NPI is 1063648699, taxonomy code is 390200000X Sandra Moallem M.D physically located at 3241 Western Branch Blvd, Chesapeake VA, 23321-5260. NPI Number Sandra Moallem M.D has the Individual type.

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1063648699 NPI number is provided on an as is basis without warranty of any kind. 1063648699 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Moallem M.D are for informational purposes only.