Healthcare Provider Details
I. General information
NPI: 1619787058
Provider Name (Legal Business Name): CAPE COD MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 ROUTE 134
SOUTH DENNIS MA
02660-3787
US
IV. Provider business mailing address
PO BOX 370
CATAUMET MA
02534-0370
US
V. Phone/Fax
- Phone: 508-394-7113
- Fax: 508-394-5470
- Phone: 508-868-7915
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARK
K
DURFEE
Title or Position: OWNER
Credential: MD
Phone: 508-868-7915