# HYANNIS EAR, NOSE AND THROAT ASSOC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HYANNIS EAR, NOSE AND THROAT ASSOC INC
- **Other names:** Cosmetic Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033369905
- **Legal business name:** HYANNIS EAR, NOSE AND THROAT ASSOC INC
- **Authorized official:** DR. JOHN NICHOLAS VANDEMOER M.D. (PRESIDENT)
- **Authorized official phone:** (508) 775-7026

## Contact information

- **Practice address:** 68 CAMP ST, HYANNIS, MA 02601-3048
- **Practice address phone:** (508) 775-7026
- **Practice address fax:** (508) 771-0499
- **Mailing address:** 68 CAMP ST, HYANNIS, MA 02601-3048
- **Mailing address phone:** (508) 775-7026
- **Mailing address fax:** (508) 771-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2008
- **Last updated:** 03/09/2009