Organization
HYANNIS EAR, NOSE AND THROAT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J NICHOLAS VANDEMOER M.D. (PRESIDENT)
(508) 771-5317
Entity
Organization
Contact information
Practice address
68 CAMP ST, HYANNIS, MA 02601-3048
(508) 771-5317
(508) 771-0499
Mailing address
68 CAMP ST, HYANNIS, MA 02601-3048
(508) 771-5317
(508) 771-0499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700471
—
MA
Enumeration date
12/18/2006
Last updated
03/23/2011
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