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NPI Code Detail

MEDICARE: CAPE COD ANESTHESIA ASSOCIATES

MEDICARE: CAPE COD ANESTHESIA ASSOCIATES
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
1367500000XCertified Registered Nurse AnesthetistRN282797MA

General Provider Information

NPI Number : 1992195838
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPE COD ANESTHESIA ASSOCIATES
Provider Business Mailing Address
First Line : 110 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3145
Country : US
Telephone Number : 508-775-5011
Fax Number :
Provider Business Practice Location Address
First Line : 110 MAIN ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3145
Country : US
Telephone Number : 508-775-5011
Fax Number :
Authorized Official
Title or Position : MDA
Name : DR. ANTON YERENIUK
Credential :
Telephone Number : 50877550111659308021
Provider Enumeration Date : 01/30/2015
Last Update Date : 01/30/2015

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