Individual
SHOSHANA MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(413) 320-6899
Mailing address
27 HURD RD APT 1, BROOKLINE, MA 02445-6928
(413) 320-6899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2020
Last updated
10/25/2021
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