Individual
DR. MICHAEL A MOFFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5737
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5737
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263699
MA
208000000X
Pediatrics Physician
289071
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
289071
NY
Other
Enumeration date
03/03/2013
Last updated
07/11/2022
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