| NPI | 1366515249 |
|---|---|
| Doing Business As | NEWPORT PEDIATRICS & ADOLESCENT MEDICINE PLLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS AE MOSELEY Owner 802-334-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 420006774) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 1010022369) |
| 208000000X Pediatrics (Licence: VT 0420010849) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-03-14 |