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Individual

DR. ALLISON J MOOSALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3624 W MARKET ST, SUITE 101, FAIRLAWN, OH 44333-4510
(330) 665-0555
(330) 665-0556
Mailing address
3624 W MARKET ST, SUITE 101, FAIRLAWN, OH 44333-4510
(330) 665-0555
(330) 665-0556

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35088136
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35088136
OH

Other

Enumeration date
07/22/2006
Last updated
06/17/2025
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