Moulton, Martha
Moulton, Martha is an individual health care provider with primary practice located at 60 Old New Milford Rd , Brookfield CT 06804-2430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moulton, Martha can be contacted via phone (203) 775-6365.Contact Information
Primary practice address
60 Old New Milford Rd
Brookfield CT 06804-2430
Phone: (203) 775-6365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 031686 | Connecticut |
Profile Details
| NPI number | 1366475592 |
|---|---|
| LBN Legal business name | Moulton, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1366475592 | NPPES |
| Connecticut | Other | 1217832 | UNITED HEALTHCARE |
| Connecticut | MEDICAID | 1316860 | UNITED HEALTHCARE |
| Connecticut | Other | ZP704 | UNITED HEALTHCARE |
| Connecticut | Other | 010031686CT01 | UNITED HEALTHCARE |
| Connecticut | Other | 061137531001 | UNITED HEALTHCARE |
| Connecticut | Other | 17542 | UNITED HEALTHCARE |
| Connecticut | Other | 801783 | UNITED HEALTHCARE |
| Connecticut | Other | 040369 | UNITED HEALTHCARE |
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