Organization
THOMAS MOULD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MATHEW MOULD MD (PRACTIONER)
(240) 314-0692
Entity
Organization
Contact information
Practice address
1 CHURCH ST, SUITE 206, ROCKVILLE, MD 20850-4158
(240) 314-0692
Mailing address
1 CHURCH ST, SUITE 206, ROCKVILLE, MD 20850-4158
(240) 314-0692
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1102338
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043421300
—
MD
Enumeration date
10/03/2015
Last updated
10/03/2015
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