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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

NPI Number 1316958093
LBN Legal business name MOAK GERIATRIC PSYCHIATRY
Authorized official GARY MOAK - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 05/06/2013 - About 13 years ago
Identifiers
MA Medicaid 9729160
MA Other Q04047 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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