Individual
CHARLOTTE MAY HARWOOD MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810
Mailing address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301098575
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD15220
RI
390200000X
Student in an Organized Health Care Education/Training Program
4301098575
MI
Other
Enumeration date
05/18/2011
Last updated
10/07/2016
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