National Provider Identifier

Elizabeth Moynihan

Elizabeth Moynihan is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 724-4100.

NPI 1720695695Boston, MAPhysician Assistant

Source: public NPPES record, last updated January 06, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1720695695
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 25, 2020
Last Updated
January 06, 2022

Practice Location

  • 55 Fruit St
  • White 1
  • Boston, MA 02114-2621

Phone: (617) 724-4100

Mailing Address

  • 9 Marion St
  • Medford, MA 02155-6219

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

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Biography

Elizabeth Moynihan is a physician assistant affiliated with Massachusetts General Hospital and Massachusetts General Physicians Organization. Her background includes physician assistant and public health training at Northeastern University, as well as prior clinical research work at Mass General.

Full Record
NPI
1720695695
Entity Type
Individual
Last Name
Moynihan
First Name
Elizabeth
Mailing Street Address
9 Marion St
Mailing City
Medford
Mailing State
MA
Mailing ZIP Code
02155-6219
Mailing Country
US
Mailing Phone
(860) 942-9878
Practice Street Address
55 Fruit St
Practice Address Line 2
White 1
Practice City
Boston
Practice State
MA
Practice ZIP Code
02114-2621
Practice Country
US
Practice Phone
(617) 724-4100
Practice Fax
(617) 726-7415
Enumeration Date
September 25, 2020
Last Updated
January 06, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
January 06, 2022
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)