Individual
MOUSTAFA K MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, BOX 800719, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2150
Mailing address
12912 KAIN RD, GLEN ALLEN, VA 23059-5733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101262699
VA
Other
Enumeration date
04/07/2015
Last updated
07/05/2023
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