Provider Demographics
NPI:1669628152
Name:MOSES-CLOUDEN, PAULA YVONNE
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:YVONNE
Last Name:MOSES-CLOUDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3804
Mailing Address - Country:US
Mailing Address - Phone:860-243-5908
Mailing Address - Fax:
Practice Address - Street 1:43 HARDING AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3804
Practice Address - Country:US
Practice Address - Phone:860-243-5908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor