Organization
SEACOAST THORACIC & CARDIOVASCULAR SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY L MOULTON MD (PRESIDENT)
(401) 331-4175
Entity
Organization
Contact information
Practice address
1 RANDALL SQ, SUITE 414, PROVIDENCE, RI 02904-2709
(401) 331-4175
(401) 331-5718
Mailing address
ONE RANDALL SQUARE, SUITE 414, PROVIDENCE, RI 02904
(401) 331-4175
(401) 331-5718
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
07965
RI
Other
Enumeration date
11/06/2007
Last updated
08/19/2015
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