Organization
HYANNIS EAR, NOSE AND THROAT ASSOC INC
Active
Parent organization
HYANNIS EAR, NOSE AND THROAT ASSOC INC
Other names
Cosmetic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HYANNIS EAR, NOSE AND THROAT ASSOC INC
Authorized official
DR. JOHN NICHOLAS VANDEMOER M.D. (PRESIDENT)
(508) 775-7026
Entity
Organization
Contact information
Practice address
68 CAMP ST, HYANNIS, MA 02601-3048
(508) 775-7026
(508) 771-0499
Mailing address
68 CAMP ST, HYANNIS, MA 02601-3048
(508) 775-7026
(508) 771-0499
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
03/09/2009
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