Individual
DR. NICHOLAS J MOFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5463
(781) 306-5379
Mailing address
26 CITY HALL MALL, MEDFORD, MA 02155
(781) 306-5463
(781) 306-5379
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
235590
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
235590
MA
Other
Enumeration date
05/16/2006
Last updated
08/11/2011
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