| Doctor Name: | MISS ROSE MARY M MOK |
| NPI Number: | 1447569736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED |
| License Number: | |
| Business Practice Address: | 111 Edgartown Road Vineyard Haven, MA - 02568 |
| Business Phone Number: | 5096937900 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2620, OAK BLUFFS |
| State: | MA |
| Postal Code: | 025572620 |
| Phone Number: | 5086969416 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |