Individual
DR. KATIE MAREE MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 712-6121
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
272208
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
276698
MA
Other
Enumeration date
07/13/2017
Last updated
09/03/2024
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