NPI 1124299219

Paul R. Moulton, M.D.

Organisation Eyewear Supplier Bangor, ME

Practice location

Address: 5 Grove Street, Bangor, ME 04401-5394
Phone: (207) 945-3619
Fax: (207) 941-0817

Authorised official

Name: Paul Rush Moulton
Title: Owner
Phone: (207) 945-3619

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 012516 (ME)

Other Eyewear Supplier providers in Maine →

Registry record

NPI: 1124299219
Entity type: Organization
NPI issued: 17 Mar 2008
Record last updated: 17 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.