Individual
MARWA ELLEBOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, LD
Contact information
Practice address
49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, INC., PROVINCETOWN, MA 02657
(508) 487-9395
(508) 487-3285
Mailing address
PO BOX 1413, OUTER CAPE HEALTH SERVICES, INC., WELLFLEET, MA 02667
(508) 240-0208
(508) 240-0499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL12170
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
05/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us