Individual
SCOTT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(207) 749-1182
Mailing address
7 WHEELER ST, SOMERVILLE, MA 02145-3553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/05/2023
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