# COLETTE MOUSSALLI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467465104
- **Authorized official:** COLETTE MOUSSALLI MD (PRESIDENT)
- **Authorized official phone:** (804) 285-4315

## Contact information

- **Practice address:** 8921 THREE CHOPT ROAD, STE 201, RICHMOND, VA 23229-4601
- **Practice address phone:** (804) 285-9315
- **Practice address fax:** (804) 288-5332
- **Mailing address:** 8921 THREE CHOPT ROAD, STE 201, RICHMOND, VA 23229-4601
- **Mailing address phone:** (804) 285-9315
- **Mailing address fax:** (804) 288-5332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 04/24/2008