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Individual
DR. TALAL IMAD MOUSALLEM
Active
Individual
DR. TALAL IMAD MOUSALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2010-01468
NC
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
2010-01468
NC
Other
Enumeration date
05/22/2008
Last updated
12/18/2014
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