Moak Center For Healthy Aging

LBN: Moak Geriatric Psychiatry
Moak Center For Healthy Aging is an health care organization with primary practice located at 5206 Union St Bldg 500 , Westborough MA 01581-5418. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty. Moak Geriatric Psychiatry can be contacted via phone (508) 898-8650, or through Moak, Gary S via phone (508) 898-8650.

Contact Information

Primary practice address
5206 Union St Bldg 500 Westborough MA 01581-5418
Fax: (508) 870-9793
Website:
Authorized official contact:
Name: Moak, Gary S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1316958093
LBN Legal business name Moak Geriatric Psychiatry
DBA Doing business as Moak Center For Healthy Aging
Authorized official Moak, Gary S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 6th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316958093 NPPES
Massachusetts Other Q04047 BLUE SHIELD
Massachusetts MEDICAID 9729160 BLUE SHIELD

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