Moulton, Thomas A
Moulton, Thomas A is an individual health care provider with primary practice located at 2432 Grand Concourse Poe Clinic, Bronx NY 10458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Moulton, Thomas A can be contacted via phone (718) 579-7337.Contact Information
Primary practice address
2432 Grand Concourse Poe Clinic
Bronx NY 10458
Phone: (718) 579-7337
Fax: (718) 817-7904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 168593 | New York |
Profile Details
| NPI number | 1215013156 |
|---|---|
| LBN Legal business name | Moulton, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Mar 30th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215013156 | NPPES |
| New York | MEDICAID | 01232099 |
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