Mosher, Jessica Suzanne
Mosher, Jessica Suzanne is an individual health care provider with primary practice located at 2000 Washington St Ste 548 , Newton Lower Falls MA 02462-1624. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Mosher, Jessica Suzanne can be contacted via phone (617) 710-6585.Contact Information
Primary practice address
2000 Washington St Ste 548
Newton Lower Falls MA 02462-1624
Phone: (617) 710-6585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 217725 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 217725 | Massachusetts |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 217725 | Massachusetts |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 217725 | Massachusetts |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 217725 | Massachusetts |
Profile Details
| NPI number | 1063471050 |
|---|---|
| LBN Legal business name | Mosher, Jessica Suzanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jul 13th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063471050 | NPPES |
| Massachusetts | MEDICAID | 2139677 |
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