Dr. Sara Moghaddam
Dermatologist
39394 Dupont Blvd
Selbyville
, Delaware 19175-3040
Dr. Sara Moghaddam
Dermatologist
39394 Dupont Blvd
Selbyville
, Delaware 19175-3040
(410) 641-9515
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Sara Moghaddam
- 10026 Old Ocean City Blvd Building #1
- Berlin, MD
- Zip : 21811-1288
- Fax : (410) 641-9515
- Phone : (410) 629-6007
Second Address
- Dr. Sara Moghaddam
- 39394 Dupont Blvd
- Selbyville, DE
- Zip : 19175-3040
- Fax : (302) 436-6328
- Phone : (302) 564-0001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | C1-0011369 | DE |
National Provider Identifier
| NPI | 1013203462 |
|---|---|
| Provider Name | Dr. Sara Moghaddam |
| First Address | Berlin, MD 21811-1288 |
| Second Address | Selbyville, DE 19175-3040 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2011 |
| Last Update Date | 10/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.