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NPI Code Detail

MEDICARE: ELLEN V KANTER M.D.

MEDICARE: ELLEN V KANTER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician48333MA

General Provider Information

NPI Number : 1407804677
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN V KANTER M.D.
Provider Business Mailing Address
First Line : 94 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3146
Country : US
Telephone Number : 508-771-9599
Fax Number : 508-771-9599
Provider Business Practice Location Address
First Line : 94 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3146
Country : US
Telephone Number : 508-771-9599
Fax Number : 508-771-9599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 12/07/2011

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