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Contact Information

ANTHONY L MOULTON, MD
1 RANDALL SQ
STE 414
PROVIDENCE, RI02904-2709
 Phone: 401-331-4175
 Fax: 401-331-5718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANTHONY L MOULTON · (Male)

NPI Number 1689695736
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2006
Last updated 11/27/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # 079657
  • RI Medicaid 9020315
Hospital affiliation(s)
  • LANDMARK MEDICAL CENTER INC - (Acute Care)
    115 CASS AVE
    WOONSOCKET, RI 02895
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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