ANTHONY LE ROY MOULTON

PROVIDENCE, RI
NPI1689695736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: RI  079657)
Enumeration Date2006-07-22
Last Update Date2007-11-27
Business Address
DR. ANTHONY LE ROY MOULTON MD
1 RANDALL SQ STE 414
PROVIDENCE, RI 02904-2709
Phone number: 401-331-4175
Mailing Address
DR. ANTHONY LE ROY MOULTON MD
1 RANDALL SQ STE 414
PROVIDENCE, RI 02904-2709
Phone number: 401-331-4175
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