National Provider Identifier Database

MOAK GERIATRIC PSYCHIATRY
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

MOAK GERIATRIC PSYCHIATRY
5206 UNION ST BLDG 500
WESTBOROUGH, MA01581-5418
Phone: 508-898-8650
Fax: 508-870-9793
Website:
Specialty Taxonomy Code
* Geriatric Psychiatry 2084P0805X

* Indicates primary specialty

NPI Profile & details for MOAK GERIATRIC PSYCHIATRY

NPI Number 1316958093
Legal business name
LBN
MOAK GERIATRIC PSYCHIATRY
Authorized official GARY MOAK - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/10/2006
Last updated 05/06/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 9729160
  • MA Other: Q04047 BLUE SHIELD

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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