Individual
DAVID PETER MOUALLEM
Active
Individual
DAVID PETER MOUALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007906L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015426480004
—
PA
01
—
002460
FIRST PRIORITY HEALTH
PA
01
—
020017400
BLACK LUNG
PA
01
—
129122
HEALTH AMERICA
PA
01
—
20815
GEISINGER HEALTH PLAN
PA
01
—
787165
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/18/2006
Last updated
10/19/2021
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