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Organization
CAPE COD FAMILY PRACTICE & SPORTS MEDICINE, P.C.
Active
Organization
CAPE COD FAMILY PRACTICE & SPORTS MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MOSYCHUK (OFFICE MANAGER)
(508) 539-3353
Entity
Organization
Contact information
Practice address
34 BATES RD, SUITE 202, MASHPEE, MA 02649-3280
(508) 539-3353
(508) 539-6848
Mailing address
PO BOX 595, MASHPEE, MA 02649-0595
(508) 539-3353
(508) 539-6848
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
210923
MA
207Q00000X
Family Medicine Physician
Primary
210923
MA
Other
Enumeration date
06/27/2007
Last updated
04/08/2008
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