Doctor Name: | MRS. SUSAN PATRICIA MOLLOY |
NPI Number: | 1043540750 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDCS(AE) |
License Number: | 32450 |
Business Practice Address: | 509 Falmouth Rd Mashpee, MA - 026492699 |
Business Phone Number: | 6177335095 |
Business Fax Number: | |
Mailing Address: | 509 Falmouth Rd, MASHPEE |
State: | MA |
Postal Code: | 026492699 |
Phone Number: | 6177335095 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2009 |
NPI Last Update Date: | 12/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 32450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |