Provider Demographics
NPI:1871908228
Name:MOYE, VIRGINIA ANN (MD, MPH)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ANN
Last Name:MOYE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:372 WASHINGTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6216
Mailing Address - Country:US
Mailing Address - Phone:781-304-8680
Mailing Address - Fax:781-304-8440
Practice Address - Street 1:372 WASHINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6216
Practice Address - Country:US
Practice Address - Phone:781-304-8680
Practice Address - Fax:781-304-8440
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2018-00236207N00000X
MA101975207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology