Individual
DR. THOMAS ADDIS EMMET MOSELEY III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 MEDICAL VILLAGE DR, NEWPORT PEDIATRICS AND ADOLESCENT MEDICINE PLLC, NEWPORT, VT 05855-9834
(802) 334-5929
Mailing address
121 MEDICAL VILLAGE DR, NEWPORT PEDIATRICS AND ADOLESCENT MEDICINE PLLC, NEWPORT, VT 05855-9834
(802) 334-5929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0006774
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005451
—
VT
Enumeration date
07/01/2005
Last updated
07/21/2022
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