Maccormack, Mollie A.

Maccormack, Mollie A. is an individual health care provider with primary practice located at 17 Prospect St , Nashua NH 03060-3956. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Maccormack, Mollie A. can be contacted via phone (603) 883-8311.

Contact Information

Primary practice address
17 Prospect St Nashua NH 03060-3956
Phone: (603) 883-8311
Fax: (603) 883-8317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 215758 Massachusetts
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 215758 Massachusetts
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 215758 Massachusetts
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 17581 New Hampshire

Profile Details

NPI number 1982784823
LBN Legal business name Maccormack, Mollie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982784823 NPPES
Massachusetts MEDICAID 110037844A

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