Organization
MOAK GERIATRIC PSYCHIATRY
Active
Other names
Moak Center for Healthy Aging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S MOAK M.D. (MANAGER)
(508) 898-8650
Entity
Organization
Contact information
Practice address
5206 UNION ST BLDG 500, WESTBOROUGH, MA 01581-5418
(508) 898-8650
(508) 870-9793
Mailing address
5206 UNION ST BLDG 500, WESTBOROUGH, MA 01581-5418
(508) 898-8650
(508) 870-9793
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729160
—
MA
01
—
Q04047
BLUE SHIELD
MA
Enumeration date
08/10/2006
Last updated
05/06/2013
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