NPI 1043339443
Mark Paul Moulton, HIS
Practice location
- Address
- 115 Main St, North Adams, MA 01247-3409
- Phone
- (413) 662-2151
- Fax
- (413) 664-3283
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1043339443
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Mar 2007
- Record last updated
- 8 Jul 2007
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.