Individual
DR. CLARICE MOUSSALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4374 NEW TOWN AVE, STE 100, WILLIAMSBURG, VA 23188-2865
(757) 259-1900
(757) 259-1901
Mailing address
4374 NEW TOWN AVE, STE 100, WILLIAMSBURG, VA 23188-2865
(757) 259-1900
(757) 259-1901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101035100
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010163927
—
VA
Enumeration date
02/24/2006
Last updated
01/11/2012
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