Individual
DR. DAVID W MUFFELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6790 WOOD RIDGE DRIVE, GLOUCESTER, VA 23061
(804) 693-6527
(804) 693-6615
Mailing address
PO BOX 693, GLOUCESTER, VA 23061-0693
(804) 693-6527
(804) 693-6615
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101026776
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005902509
—
VA
01
—
070016971
RAILROAD MEDICARE
VA
01
—
141599
BLUE CROSS BLUE SHIELD
VA
Enumeration date
05/24/2005
Last updated
07/22/2010
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