Anthony Le Roy Moulton in Providence - Thoracic Surgery (cardiothoracic Vascular Surgery)
Anthony Le Roy Moulton - NPI 1689695736
Anthony Le Roy Moulton is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Providence, Rhode Island. Anthony Le Roy Moulton practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Anthony Le Roy Moulton is 1689695736. The last update date is 2007-11-27.
Anthony Le Roy Moulton's current location address is 1 Randall Sq, Providence, Rhode Island. You can contact this provider via phone number 4013314175 and fax number 4013315718. The mailing address for Anthony Le Roy Moulton is 1 Randall Sq, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Le Roy Moulton |
|---|---|
| Address | 1 Randall Sq, Providence, Rhode Island |
| Phone Number | 4013314175 |
| Fax Number | 4013315718 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689695736 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 1 Randall Sq |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29042709 |
| Phone Number | 4013314175 |
| Fax Number | 4013315718 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 79657 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9020315 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Anthony Le Roy Moulton by the Centers for Medicare & Medicaid Services?
The Anthony Le Roy Moulton has been issued the NPI (National Provider Identifier) 1689695736 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Anthony Le Roy Moulton?
The Anthony Le Roy Moulton is physically situated at 1 Randall Sq, in the city of Providence, state of RI, with the postal code 29042709.
What is Anthony Le Roy Moulton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Anthony Le Roy Moulton's area of specialization is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this field of practice is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689695736 to Anthony Le Roy Moulton?
The Centers for Medicare & Medicaid Services originally issued the 1689695736 to Anthony Le Roy Moulton on 2006-07-22.
When was the information pertaining to Anthony Le Roy Moulton most recently updated or revised?
The details related to Anthony Le Roy Moulton, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-27.
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