Moran, Elizabeth M

Moran, Elizabeth M is an individual health care provider with primary practice located at 637 Washington St , Dorchester MA 02124-3510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moran, Elizabeth M can be contacted via phone (617) 825-9660.

Contact Information

Primary practice address
637 Washington St Dorchester MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2326091 Massachusetts

Profile Details

NPI number 1205494630
LBN Legal business name Moran, Elizabeth M
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2019
Last updated Nov 17th, 2023 - about 2 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 1205494630 NPPES
Massachusetts MEDICAID 110154073A

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