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 |