| The Memory Center | |
|
1860 Santuit-newtown Rd Cotuit MA 02635-2509 | |
| (508) 420-9989 | |
| Not Available |
| Full Name | The Memory Center |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1860 Santuit-newtown Rd, Cotuit, Massachusetts |
| Authorized Official Name and Position | Gerald Paul Elovitz (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5084209989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Memory Center 1860 Santuit-newtown Rd Cotuit MA 02635-2509 Ph: (508) 420-9989 | The Memory Center 1860 Santuit-newtown Rd Cotuit MA 02635-2509 Ph: (508) 420-9989 |
| NPI Number | 1922213628 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922213628 | NPI | - | NPPES |
| 9784624 | Medicaid | MA | |
| W10408 | Other | MA | PC BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 2591 (Massachusetts) | Primary |
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