Mark Paul Moulton, HIS

NPI #1043339443 in North Adams, Massachusetts

Provider Information

NPI Number
1043339443
Entity Type
Individual
Name
Mark Paul Moulton, HIS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
HIS
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
115 MAIN ST
ZIP Code
01247-3409
Phone
(413) 662-2151

Specialties & Taxonomy Codes

Specialty
Specialist

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