Individual
CARLA JAN MOSCHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14 HILLSIDE AVE, SAUGUS, MA 01906-2919
(781) 233-7651
Mailing address
14 HILLSIDE AVE, SAUGUS, MA 01906-2919
(781) 233-7651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
867
MA
363AM0700X
Medical Physician Assistant
PA001249
ME
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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