Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael A Moffat, MD

Individual provider Pediatrics Physician · NPI 1902147804

Dr. Michael A Moffat, MD is a Pediatrics Physician in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5737
Phone: (617) 355-6000
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 263699 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 289071 (NY)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 289071 (NY)

Record details

NPI number1902147804
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 3, 2013
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing address300 Longwood Ave, Boston, MA 02115-5737

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