Dennis J. Muldoon
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1477216331
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1477216331
- Entity type
- Individual (NPI-1)
- Name
- Dennis J. Muldoon
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2021
- Certification date
- Mar 8, 2023
- Last updated
- Mar 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA8607 | MA | Yes |
Practice location
450 Brookline AveBoston, MA 02215-5450
Phone 617-632-3000 · Fax 617-278-6021
Mailing address
450 Brookline AveBoston, MA 02215-5450
Phone 617-632-3000 · Fax 617-278-6021
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