National Provider Identifier Database

GARY S MOAK, MD – NPI #1760478473
Geriatric Psychiatry

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.


Contact Information

GARY S MOAK, MD
1 MEDICAL CENTER DR
DARTMOUTH HITCHCOCK - PSYCHIATRY
LEBANON, NH03756-1000
Phone: 603-650-6150
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for GARY S MOAK

NPI Number 1760478473
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 04/19/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 56109
  • NH License #: 8028
  • MA Medicaid: 3006816
  • MA Other: J05608 BLUE SHIELD
  • MA Other: 56109 MEDICAL LICENSE
Hospital affiliation n/a

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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