Organization
WILLIAM J. MORAN MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J MORAN M,D, (PRESIDENT)
(617) 782-0063
Entity
Organization
Contact information
Practice address
17 HENSHAW ST, BRIGHTON, MA 02135-2905
(617) 782-0063
(617) 789-2126
Mailing address
17 HENSHAW ST, BRIGHTON, MA 02135-2905
(617) 782-0063
(617) 789-2126
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066525
—
MA
Enumeration date
06/13/2007
Last updated
08/22/2020
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