Individual
MRS. MOLLY ELLEN NAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(315) 254-5770
Mailing address
100 WALTHAM ST APT 2, BOSTON, MA 02118-3682
(315) 254-5770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6750
MA
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA6750
MA STATE LICENSE
MA
Enumeration date
10/17/2018
Last updated
08/03/2022
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