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NPI Code Detail

MEDICARE: CAPE HOLISTIC HEALTH, LLC

MEDICARE: CAPE HOLISTIC HEALTH, LLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1013383785
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPE HOLISTIC HEALTH, LLC
Provider Business Mailing Address
First Line : 677 W MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 677 W MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3493
Country : US
Telephone Number : 781-258-7077
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. ANTHONY JAMES COLLETTI JR.
Credential :
Telephone Number : 781-258-7077
Provider Enumeration Date : 08/18/2015
Last Update Date : 02/17/2016

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Directions to “CAPE HOLISTIC HEALTH, LLC ” Practice Location

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