# CAPE COD PLASTIC & HAND SURGEONS, INC.

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

## Provider details

- **NPI number:** 1295878171
- **Authorized official:** DR. PETER EDWARD BENTIVEGNA MD (PRESIDENT)
- **Authorized official phone:** (508) 771-4263

## Contact information

- **Practice address:** 150 ANSEL HALLET RD, SUITE A, WEST YARMOUTH, MA 02673-2582
- **Practice address phone:** (508) 771-4263
- **Practice address fax:** (508) 771-7906
- **Mailing address:** PO BOX 693, SOUTH YARMOUTH, MA 02664-0693
- **Mailing address phone:** (508) 771-4263
- **Mailing address fax:** (508) 771-7906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | 76228 | MA | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 76228 | MA | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 76228 | MA | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | 76228 | MA | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 11/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 614206 | TUFTS HEALTH PLANS PAYEE | MA |