Individual
DR. ELIZABETH A MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
258326
MA
2080P0208X
Pediatric Infectious Diseases Physician
258326
MA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
R8624
TX
Other
Enumeration date
03/23/2011
Last updated
06/18/2024
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