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Individual

DR. DANIEL E MOALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 MONTAUK AVE, NEW LONDON, CT 06320-4730
(860) 443-1891
(860) 443-2980
Mailing address
350 MONTAUK AVE, NEW LONDON, CT 06320-4730
(860) 443-1891
(860) 443-2980

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A012550
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1125509
CT
Enumeration date
06/21/2005
Last updated
09/25/2007
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