Moussalli, Clarice

Moussalli, Clarice is an individual health care provider with primary practice located at 4374 New Town Ave Ste 100, Williamsburg VA 23188-2865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Moussalli, Clarice can be contacted via phone (757) 259-1900.

Contact Information

Primary practice address
4374 New Town Ave Ste 100 Williamsburg VA 23188-2865
Phone: (757) 259-1900
Fax: (757) 259-1901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101035100 Virginia

Profile Details

NPI number 1487620035
LBN Legal business name Moussalli, Clarice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 11th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487620035 NPPES
Virginia MEDICAID 010163927

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