Individual
AMY WALTRIP MOLDREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
286101
MA
208600000X
Surgery Physician
35128160
OH
Other
Enumeration date
11/13/2006
Last updated
09/16/2025
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