Individual
SANDRA GAY BOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C, M.ED.
Contact information
Practice address
VABOS 1400 VFW PKWY, OCC HEALTH RM GA153, WEST ROXBURY, MA 02132
(617) 323-7700
(857) 203-5583
Mailing address
30 BEECHNUT RD, WESTWOOD, MA 02090-3302
(781) 769-0215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14
MA PA LIC
MA
Enumeration date
03/24/2006
Last updated
07/08/2007
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