Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK PAUL MOULTON, HIS
Active Sole ProprietorMARK PAUL MOULTON, HIS is a Specialist healthcare provider located in NORTH ADAMS, Massachusetts. NPI 1043339443 is currently active in the NPPES registry. Verify at CMS.
Specialist · NORTH ADAMS, MA
Registration Details
- NPI Number
- 1043339443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2007 (19.339285943216 yrs)
- Last Updated
- Jul 8, 2007
- License
-
119 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 MAIN STNORTH ADAMS, MA, 012473409Browse MA providers · Browse ZIP 01247
- Phone
- 4136622151
- Fax
- 4136643283
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NORTH ADAMS, MA
| Name | Credential | NPI |
|---|---|---|
| DR. BETH LEAH ELLINGWOOD | M.D. | 1326000738 |
| MRS. JENNIFER RANCOURT CIVELLO | MA CTTS | 1013144492 |
| KELSEY OUIMET | — | 1306509609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.