Individual
ANNE W MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 PLAIN ST, 3RD FLOOR, PROVIDENCE, RI 02903-4816
(401) 444-3355
(401) 444-3354
Mailing address
PO BOX 1358, PROVIDENCE, RI 02901-1358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD06114
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006348
—
RI
Enumeration date
05/28/2006
Last updated
11/15/2007
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