Individual
JACQUELYN E MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 EVERETT AVE, CHELSEA, MA 02150-1812
(617) 884-8300
Mailing address
151 EVERETT AVE, CHELSEA, MA 02150-1812
(617) 884-8300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
255021
MA
Other
Enumeration date
04/01/2010
Last updated
07/15/2013
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