Active NPIIndividual provider

Susan E Moynihan, MD

Internal Medicine in Marblehead, Massachusetts

NPI Number1912953605
Practice location
1 Widger RD, Suite 201, Marblehead, MA 01945
Fax
781-631-5175
Last updated
July 13, 2026

Susan Ellen Moynihan is an Internal Medicine based in Marblehead, MA. Susan Ellen Moynihan practices in Marblehead, MA and has the professional credentials of MD. The NPI Number for Susan Ellen Moynihan is 1912953605 and holds a License No. 52866 (MA). The current practice location address for Susan Ellen Moynihan is 1 Widger RD, Suite 201, Marblehead, MA 01945 and can be reached out via phone at 781-631-1415 and via fax at 781-631-5175.

Provider Profile Details

NPI Number
1912953605
Provider Name
Susan Ellen Moynihan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Widger RD, Suite 201, Marblehead, MA 01945
Phone Number
781-631-1415
Fax Number
781-631-5175
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Widger RD
Suite 201
Marblehead, MA 01945
Zip
01945
Phone Number
781-631-1415
Fax Number
781-631-5175
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
Po Box 930
Salem, MA 01970
City
Salem
State
MA
Zip
01970
Phone Number
978-825-6581
Fax Number
978-825-7070

License Information

License Number
52866
License State
MA
Taxonomy
Internal Medicine · 207R00000X · Primary

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 Susan E Moynihan, MD?

The NPI number of Susan E Moynihan, MD is 1912953605. It was assigned on May 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan E Moynihan, MD?

Susan E Moynihan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 52866.

Where does Susan E Moynihan, MD practice?

The practice location is 1 Widger RD, Suite 201, Marblehead, MA 01945. The office can be reached at 781-631-1415 (phone) or 781-631-5175 (fax).

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 1912953605 directly on the NPPES registry website.

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