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Individual

MARIPAZ B. MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-8255
(757) 668-9444
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101234574
VA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
0101234574
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006739172
VA
05
100912578001
PA
05
3810001368
WV
05
405975100
MD
05
89066EF
VA
Enumeration date
05/26/2006
Last updated
12/17/2009
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