Healthcare Provider Details

I. General information

NPI: 1124602925
Provider Name (Legal Business Name): CLEARVIEW CAPE COD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 NAMSKAKET RD
ORLEANS MA
02653-3202
US

IV. Provider business mailing address

100 HOSPITAL RD STE 2D
LEOMINSTER MA
01453-2253
US

V. Phone/Fax

Practice location:
  • Phone: 978-534-0582
  • Fax:
Mailing address:
  • Phone: 978-534-0582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ABIGAIL ENGEL
Title or Position: PARTNER
Credential: PA-C
Phone: 978-962-3281