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Individual

DR. SANDRA MOALLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 967-8622
(757) 686-0541
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255459
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/10/2009
Last updated
03/02/2015
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