Individual
PETER MICHAEL MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
115 MAIN ST, NORTH ADAMS, MA 01247-3409
(413) 662-2151
Mailing address
115 MAIN ST, NORTH ADAMS, MA 01247-3409
(413) 662-2151
(413) 664-3283
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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