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Contact Information

TALAL I MOUSALLEM, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for TALAL I MOUSALLEM · (Male)

NPI Number 1487812749
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2008
Last updated 12/18/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2010-01468
  • NC Medicaid 1487812749
  • NC Other 4762627 AETNA
  • NC Other 1846B BCBS
  • NC Other 276230 MEDCOST
  • NC Other 1487812749 TRICARE
  • NC Other 3846320 UHC
  • SC Other Q0146O SC MEDICAID
  • VA Other 1487812749 VIRGINIA MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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