Moak, Gary Stuart
Moak, Gary Stuart is an individual health care provider with primary practice located at 1 Medical Center Dr Dartmouth Hitchcock - Psychiatry, Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Moak, Gary Stuart can be contacted via phone (603) 650-6150.Contact Information
Primary practice address
1 Medical Center Dr Dartmouth Hitchcock - Psychiatry
Lebanon NH 03756-1000
Phone: (603) 650-6150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 56109 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 56109 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 8028 | New Hampshire |
Profile Details
| NPI number | 1760478473 |
|---|---|
| LBN Legal business name | Moak, Gary Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 19th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760478473 | NPPES |
| Massachusetts | MEDICAID | 3006816 | |
| Massachusetts | Other | 56109 | |
| Massachusetts | Other | J05608 |
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