| |
270 Communication Way Suite 4b Hyannis MA 02601 | |
(978) 536-7400 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 270 Communication Way, Hyannis, Massachusetts |
Authorized Official Name and Position | Angela Nauful (VP COMPLIANCE & CONTRACTING) |
Authorized Official Contact | 7703092000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
200 Corporate Pl Suite 5b Peabody MA 01960-3840 Ph: (978) 536-7400 | 270 Communication Way Suite 4b Hyannis MA 02601 Ph: (978) 536-7400 |
NPI Number | 1003063587 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 08/22/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003063587 | NPI | - | NPPES |
327004 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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