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Individual

LISETTE MUSAIB-ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718
(302) 733-1000
Mailing address
1811 EWING RD, COCHRANVILLE, PA 19330-1629
(443) 345-9455
(844) 643-4283

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0011408
DE
207R00000X
Internal Medicine Physician
Primary
D0074530
MD
207R00000X
Internal Medicine Physician
MD454499
PA

Other

Enumeration date
08/22/2008
Last updated
08/16/2018
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