Individual
MOLLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1285 BELMONT ST STE 1, BROCKTON, MA 02301-4440
(508) 894-7015
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101827
MA
Other
Enumeration date
01/08/2025
Last updated
10/14/2025
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