| Osterville Internal Medicine | |
|
687 W Main St Hyannis MA 02601-3421 | |
| (508) 771-8114 | |
| (508) 771-5822 |
| Full Name | Osterville Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 687 W Main St, Hyannis, Massachusetts |
| Authorized Official Name and Position | Conrad Henri Benoit (OWNER) |
| Authorized Official Contact | 5087718114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osterville Internal Medicine Po Box 278 Osterville MA 02655-0278 Ph: (508) 771-8114 | Osterville Internal Medicine 687 W Main St Hyannis MA 02601-3421 Ph: (508) 771-8114 |
| NPI Number | 1598954950 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598954950 | NPI | - | NPPES |
| M17302 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 74996 (Massachusetts) | Primary |
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