Individual
WILLY MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15 ROCHE BROS WAY, NORTH EASTON, MA 02356-1000
(781) 344-3535
(508) 535-0192
Mailing address
PO BOX 30, STOUGHTON, MA 02072-0030
(781) 344-3535
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4493
MA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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