Individual
DR. ANNE E MOYLAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
55 FRUIT ST, WHT 1 PSYCHIATRY DEPARTMENT, BOSTON, MA 02114-2696
(617) 724-7688
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
214067
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073251
—
MA
01
—
469762
TUFTS HEALTH PLAN
MA
01
—
J25120
BCBS MA
MA
Enumeration date
04/21/2006
Last updated
07/08/2007
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