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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760478473 NPPES
Massachusetts MEDICAID 3006816
Massachusetts Other 56109
Massachusetts Other J05608

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