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Organization
CAPE COD ASC LLC
Active
Organization
CAPE COD ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J BRUN (ADMINISTRATOR)
(508) 833-6050
Entity
Organization
Contact information
Practice address
280 HERITAGE PARK, SANDWICH, MA 02563
(508) 833-6050
(508) 833-6029
Mailing address
PO BOX 820, 280 HERITAGE PARK, SANDWICH, MA 02563-0820
(508) 833-6050
(508) 833-6029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/23/2005
Last updated
04/29/2010
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