Provider Demographics
NPI:1841231925
Name:MORAN, JULIE ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:MORAN
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Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:300 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3003
Mailing Address - Country:US
Mailing Address - Phone:978-851-7321
Mailing Address - Fax:978-851-3640
Practice Address - Street 1:365 EAST STREET
Practice Address - Street 2:TEWKSBURY HOSPITAL
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1998
Practice Address - Country:US
Practice Address - Phone:978-851-7321
Practice Address - Fax:978-851-3640
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2015-01-29
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Provider Licenses
StateLicense IDTaxonomies
MA2211140207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine