Sandra Gay Bock in Westwood - Physician Assistant

Sandra Gay Bock - NPI 1972563922

Sandra Gay Bock is a Physician Assistant in Westwood, Massachusetts. Sandra Gay Bock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sandra Gay Bock is 1972563922. The last update date is 2007-07-08.

Sandra Gay Bock's current location address is 30 Beechnut Rd, Westwood, Massachusetts. You can contact this provider via phone number 7817690215. The mailing address for Sandra Gay Bock is 30 Beechnut Rd, Westwood, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Gay Bock
Address 30 Beechnut Rd, Westwood, Massachusetts
Phone Number 7817690215
Fax Number
Sole Proprietor X
Credentials PA-C, M.ED

NPI Number Detail

NPI Number 1972563922
Provider Enumeration Date 2006-03-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 30 Beechnut Rd
City Westwood
State Massachusetts (MA)
Post Code 20903302
Phone Number 7817690215
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14 MA MA PA LIC

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FAQs about Sandra Gay Bock

Could you please share the complete physical location address where Sandra Gay Bock's facilities are situated?

The facilities of Sandra Gay Bock are physically located at the following address: 30 Beechnut Rd, Westwood, MA, 20903302.

On what date was the 1972563922 assigned to Sandra Gay Bock?

The Sandra Gay Bock was issued its 1972563922 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Sandra Gay Bock receive the assignment of its 1972563922 from the Centers for Medicare & Medicaid Services?

The Sandra Gay Bock was issued its 1972563922 by the Centers for Medicare & Medicaid Services on 2006-03-24.

When was the information regarding Sandra Gay Bock most recently updated?

The details pertaining to the Sandra Gay Bock, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

As of what date was the information pertaining to Sandra Gay Bock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sandra Gay Bock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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