Provider Demographics
NPI:1851367130
Name:MORALES, OSCAR GUILLERMO (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:GUILLERMO
Last Name:MORALES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:780 BOYLSTON ST
Mailing Address - Street 2:APARTMENT 6-I
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02199-7805
Mailing Address - Country:US
Mailing Address - Phone:212-203-3434
Mailing Address - Fax:857-233-4990
Practice Address - Street 1:115 MILL STREET
Practice Address - Street 2:MCLEAN HOSPITAL DEPARTMENT OF PSYCHIATRY
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-9106
Practice Address - Country:US
Practice Address - Phone:617-855-2944
Practice Address - Fax:617-855-3810
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2009-02-18
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Provider Licenses
StateLicense IDTaxonomies
NY227156-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA22521OtherMASSACHUSETTS MEDICARE
MAA22521OtherMASSACHUSETTS MEDICARE
G46540Medicare UPIN