| Moak Center For Healthy Aging | |
|
5206 Union St Bldg 500 Westborough MA 01581-5418 | |
| (508) 898-8650 | |
| (508) 870-9793 |
| Full Name | Moak Center For Healthy Aging |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 5206 Union St Bldg 500, Westborough, Massachusetts |
| Authorized Official Name and Position | Gary S Moak (MANAGER) |
| Authorized Official Contact | 5088988650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moak Center For Healthy Aging 5206 Union St Bldg 500 Westborough MA 01581-5418 Ph: (508) 898-8650 | Moak Center For Healthy Aging 5206 Union St Bldg 500 Westborough MA 01581-5418 Ph: (508) 898-8650 |
| NPI Number | 1316958093 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316958093 | NPI | - | NPPES |
| Q04047 | Other | MA | BLUE SHIELD |
| 9729160 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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