Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maritime Mohs PC

Organization Dermatology Physician · NPI 1063279420

Maritime Mohs PC is a Dermatology Physician in Wellesley Hills, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Walnut St Ste 1
Wellesley Hills, MA 02481-2109
Phone: (617) 710-6585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1063279420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Mosher — Director · (617) 710-6585
NPI enumeratedMarch 4, 2024
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address68 Wellesley Rd, Belmont, MA 02478-2125

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