Healthcare Provider Details

I. General information

NPI: 1497668081
Provider Name (Legal Business Name): OCEANVIEW GYNECOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1645 FALMOUTH RD STE 4B
CENTERVILLE MA
02632-2934
US

IV. Provider business mailing address

300 HOLLY POINT RD
CENTERVILLE MA
02632-1822
US

V. Phone/Fax

Practice location:
  • Phone: 774-644-0628
  • Fax:
Mailing address:
  • Phone: 774-644-0628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: TARA CHUTE
Title or Position: PRESIDENT
Credential: MD
Phone: 774-644-0628