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735 Attucks Ln Hyannis MA 02601-1867 | |
| (508) 778-5420 | |
| (508) 778-8747 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 735 Attucks Ln, Hyannis, Massachusetts |
| Authorized Official Name and Position | Amy Gardner (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5087780300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
735 Attucks Ln Hyannis MA 02601-1867 Ph: (508) 778-5420 | 735 Attucks Ln Hyannis MA 02601-1867 Ph: (508) 778-5420 |
| NPI Number | 1205297215 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205297215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | RN254621 (Massachusetts) | Primary |
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