Peter Jerome Moulton, is a
Student In An Organized Health Care Education/training Program based in Waltham, Massachusetts. Peter Jerome Moulton is licensed to practice in * (Not Available) (license number ) and his current practice location is
77 Rumford Ave, Waltham, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(781) 894-4325.
NPI number for Peter Jerome Moulton is 1669952032 and his current mailing address is 77 Rumford Ave, Waltham, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669952032.
Healthcare Provider's Profile
Full Name | Peter Jerome Moulton |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 77 Rumford Ave, Waltham, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669952032
- Provider Enumeration Date: 08/15/2018
- Last Update Date: 09/20/2019
Medical Identifiers
Medical identifiers for Peter Jerome Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669952032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Jerome Moulton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peter Jerome Moulton, 77 Rumford Ave, Waltham, MA 02453-3872 Ph: () - | Peter Jerome Moulton, 77 Rumford Ave, Waltham, MA 02453-3872 Ph: (781) 894-4325 |
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