Thomas Ae Moseley

NPI #1366515249 in Newport, Vermont

Provider Information

NPI Number: 1366515249
Entity Type: Organization
Organization Name: Thomas Ae Moseley
Primary Specialty: Family Medicine
Enumeration Date: Nov 16, 2006
Last Updated: Mar 14, 2012

Practice Location

Address: 121 MEDICAL VILLAGE DRIVE
City: Newport
State: Vermont
ZIP Code: 05855
Phone: (802) 334-6929

Authorized Official

Name: MR. THOMAS AE MOSELEY III, MD
Title: OWNER
Phone: (802) 334-5929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Pediatrics	208000000X

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