Individual
GARY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 WESTGATE DR, BROCKTON, MA 02301-1821
(508) 583-5801
Mailing address
152 LYNNWAY, LYNN, MA 01902-3462
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
46
MA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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