Organization
DR. GERALD P. ELOVITZ, P.C.
Active
Other names
The Memory Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD PAUL ELOVITZ D.ED. (CLINICAL NEUROPSYCHOLOGIST)
(508) 420-9989
Entity
Organization
Contact information
Practice address
1860 SANTUIT-NEWTOWN RD, COTUIT, MA 02635-2509
(508) 420-9989
Mailing address
1860 SANTUIT-NEWTOWN RD, COTUIT, MA 02635-2509
(508) 420-9989
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9784624
—
MA
01
—
W10408
PC BCBS GROUP
MA
Enumeration date
05/14/2007
Last updated
11/08/2007
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