# CAPE COD FAMILY PRACTICE & SPORTS MEDICINE, P.C.

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

## Provider details

- **NPI number:** 1336346063
- **Authorized official:** MRS. JENNIFER MOSYCHUK (OFFICE MANAGER)
- **Authorized official phone:** (508) 539-3353

## Contact information

- **Practice address:** 34 BATES RD, SUITE 202, MASHPEE, MA 02649-3280
- **Practice address phone:** (508) 539-3353
- **Practice address fax:** (508) 539-6848
- **Mailing address:** PO BOX 595, MASHPEE, MA 02649-0595
- **Mailing address phone:** (508) 539-3353
- **Mailing address fax:** (508) 539-6848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 210923 | MA | — |
| 207Q00000X | Family Medicine Physician | 210923 | MA | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 04/08/2008