Individual
HANNAH K MOOMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10169990A
—
MA
05
—
3139574
—
NH
Enumeration date
12/03/2019
Last updated
04/01/2024
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