NPI 1689695736

Anthony Le Roy Moulton, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providence, RI

Practice location

Address: 1 Randall Sq STE 414, Providence, RI 02904-2709
Phone: (401) 331-4175
Fax: (401) 331-5718

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 079657 (RI)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Rhode Island →

Registry record

NPI: 1689695736
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2006
Record last updated: 27 Nov 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.