Individual
DR. JESSICA SUZANNE MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
62 WALNUT ST STE 1, WELLESLEY HILLS, MA 02481-2109
(781) 400-0469
(617) 604-2168
Mailing address
68 WELLESLEY RD, BELMONT, MA 02478-2125
(617) 710-6585
(617) 710-6585
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
217725
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
217725
MA
207ND0900X
Dermatopathology Physician
217725
MA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
217725
MA
207NS0135X
Procedural Dermatology Physician
217725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139677
—
MA
Enumeration date
03/20/2006
Last updated
10/19/2025
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