Organization
EVENING PEDIATRIC CLINIC OF CAPE COD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIF R NORENBERG MD (PRESIDENT)
(508) 362-5437
Entity
Organization
Contact information
Practice address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 362-5437
(508) 362-5450
Mailing address
PO BOX 250, YARMOUTH PORT, MA 02675-0250
(508) 362-5437
(508) 362-5450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
02/26/2008
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