Justin Mcdonnell Moher
Pediatrician Pediatric Emergency Physician
850 Harrison Ave # Menino1
Boston
, Massachusetts 02118-4001
Justin Mcdonnell Moher
Pediatrician Pediatric Emergency Physician
850 Harrison Ave # Menino1
Boston
, Massachusetts 02118-4001
(617) 414-6031
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Justin Mcdonnell Moher
- 801 Albany St Fl Ground
- Boston, MA
- Zip : 02119-2560
- Fax : (617) 414-6031
- Phone : (617) 414-5405
Second Address
- Justin Mcdonnell Moher
- 850 Harrison Ave # Menino1
- Boston, MA
- Zip : 02118-4001
- Fax : (617) 414-4999
- Phone : (617) 414-4991
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 286880 | MA |
| N | 208000000X | Pediatrician | 286880 | MA |
| N | 208000000X | Pediatrician | MD044138 | DC |
National Provider Identifier
| NPI | 1386089928 |
|---|---|
| Provider Name | Justin Mcdonnell Moher |
| First Address | Boston, MA 02119-2560 |
| Second Address | Boston, MA 02118-4001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2013 |
| Last Update Date | 02/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.