Individual
DR. PHILIP JOSEPH MOLLOY IV
Active
Individual
DR. PHILIP JOSEPH MOLLOY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
52498
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6190553
—
MA
01
—
722199
TUFTS
MA
01
—
J04425
BCBS
MA
01
—
M20290
MEDICARE GROUP
MA
Enumeration date
08/30/2005
Last updated
03/17/2008
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