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Contact Information

MOAK GERIATRIC PSYCHIATRY
5206 UNION ST BLDG 500
WESTBOROUGH, MA01581-5418
 Phone: 508-898-8650
 Fax: 508-870-9793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MOAK GERIATRIC PSYCHIATRY · (Female)

NPI Number 1316958093
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2006
Last updated 05/06/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9729160
  • MA Other Q04047 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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