EDWARD ERVIN MOAK

SARATOGA SPRINGS, NY
NPI1427174879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-03-21
Last Update Date2007-07-26
Business Address
-- EDWARD ERVIN MOAK IDC
1 WEST AVE STE 230
SARATOGA SPRINGS, NY 12866-6050
Phone number: 518-583-5300
Mailing Address
-- EDWARD ERVIN MOAK IDC
1 GLENHAVEN SQ
TROY, NY 12180-8600
Phone number: 518-326-5653
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