Mark Paul Moulton in North Adams - Specialist

Mark Paul Moulton - NPI 1043339443

Mark Paul Moulton is a Specialist in North Adams, Massachusetts. Mark Paul Moulton practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Paul Moulton is 1043339443. The last update date is 2007-07-08.

Mark Paul Moulton's current location address is 115 Main St, North Adams, Massachusetts. You can contact this provider via phone number 4136622151 and fax number 4136643283. The mailing address for Mark Paul Moulton is 115 Main St, North Adams, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Paul Moulton
Address 115 Main St, North Adams, Massachusetts
Phone Number 4136622151
Fax Number 4136643283
Sole Proprietor Y
Credentials HIS

NPI Number Detail

NPI Number 1043339443
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 Main St
City North Adams
State Massachusetts (MA)
Post Code 12473409
Phone Number 4136622151
Fax Number 4136643283

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 119
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mark Paul Moulton

What is the unique 10-digit identification code assigned to Mark Paul Moulton by the Centers for Medicare & Medicaid Services?

The Mark Paul Moulton has been issued the NPI (National Provider Identifier) 1043339443, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mark Paul Moulton?

The Mark Paul Moulton is situated at 115 Main St, in the city of North Adams, state of MA, with the zip code 12473409.

What is Mark Paul Moulton's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Paul Moulton's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Mark Paul Moulton receive the assignment of its 1043339443 from the Centers for Medicare & Medicaid Services?

The Mark Paul Moulton was issued its 1043339443 by the Centers for Medicare & Medicaid Services on 2007-03-28.

As of what date was the information regarding Mark Paul Moulton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Paul Moulton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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