Individual
DR. GERTRUDE M MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 EDGELL RD, FRAMINGHAM, MA 01701
(508) 620-6615
(508) 879-1597
Mailing address
460 TOTTEN POND RD, CO MZI, WALTHAM, MA 02451-1906
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055828
TUFTS
MA
01
—
200181
HPHC
MA
05
—
3091333
—
MA
01
—
J05630
BS
MA
Enumeration date
07/11/2006
Last updated
07/08/2007
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