# CAPE COD ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194718312
- **Authorized official:** LISA J BRUN (ADMINISTRATOR)
- **Authorized official phone:** (508) 833-6050

## Contact information

- **Practice address:** 280 HERITAGE PARK, SANDWICH, MA 02563
- **Practice address phone:** (508) 833-6050
- **Practice address fax:** (508) 833-6029
- **Mailing address:** PO BOX 820, 280 HERITAGE PARK, SANDWICH, MA 02563-0820
- **Mailing address phone:** (508) 833-6050
- **Mailing address fax:** (508) 833-6029

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 04/29/2010