Organization
MARITIME MOHS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA SUZANNE MOSHER MD (DIRECTOR)
(617) 710-6585
Entity
Organization
Contact information
Practice address
62 WALNUT ST STE 1, WELLESLEY HILLS, MA 02481-2109
(617) 710-6585
Mailing address
68 WELLESLEY RD, BELMONT, MA 02478-2125
(617) 710-6585
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
03/04/2024
Last updated
10/19/2025
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