Active NPIOrganization

Maritime Mohs PC

Dermatology in Wellesley Hills, Massachusetts

NPI Number1063279420
Practice location
62 Walnut St Ste 1, Wellesley Hills, MA 02481-2109
Fax
—
Last updated
July 15, 2026

Maritime Mohs PC is a healthcare organization based in Wellesley Hills, MA. Maritime Mohs PC practices in Wellesley Hills, MA. The NPI Number for Maritime Mohs PC is 1063279420. The current practice location address for Maritime Mohs PC is 62 Walnut St Ste 1, Wellesley Hills, MA 02481-2109 and can be reached out via phone at 617-710-6585.

Provider Profile Details

NPI Number
1063279420
Provider Name
Maritime Mohs PC
Provider Entity Type
Organization
Address
62 Walnut St Ste 1, Wellesley Hills, MA 02481-2109
Phone Number
617-710-6585
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Dr. Jessica Suzanne Mosher, MD · Director · 617-710-6585
Provider Enumeration Date
March 4, 2024
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Walnut St Ste 1
Wellesley Hills, MA 02481-2109
Zip
02481-2109
Phone Number
617-710-6585
Wellesley Hills, MA 02481Get directions →

Provider Business Mailing Address Details

Address
68 Wellesley RD
Belmont, MA 02478-2125
City
Belmont
State
MA
Zip
02478-2125
Phone Number
617-710-6585

License Information

Taxonomy (1)
Dermatology · 207N00000X · Primary
Taxonomy (2)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Taxonomy (3)
Dermatology, Dermatopathology · 207ND0900X
Taxonomy (5)
Dermatology, Procedural Dermatology · 207NS0135X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maritime Mohs PC?

The NPI number of Maritime Mohs PC is 1063279420. It was assigned on March 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Maritime Mohs PC?

Maritime Mohs PC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Maritime Mohs PC practice?

The practice location is 62 Walnut St Ste 1, Wellesley Hills, MA 02481-2109. The office can be reached at 617-710-6585 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063279420 directly on the NPPES registry website.

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