Individual
ALLISON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 MOUNT PLEASANT ST APT 403, SOMERVILLE, MA 02145-3376
(310) 514-6040
Mailing address
2000 WASHINGTON ST, STE 201, NEWTON, MA 02462-1602
(617) 965-4263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
06/12/2022
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