Organization
DERMATOLOGY OF CAPE COD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LISKA M.D. (PRESIDENT)
(508) 563-2550
Entity
Organization
Contact information
Practice address
37 EDGERTON DR, NORTH FALMOUTH, MA 02556-2821
(508) 563-2550
(508) 563-2570
Mailing address
37 EDGERTON DR, NORTH FALMOUTH, MA 02556-2821
(508) 563-2550
(508) 563-2570
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4190
HARVARD PILGRIM
MA
01
—
695562
TUFTS
MA
05
—
9733540
—
MA
01
—
M18770
BC BS
MA
Enumeration date
04/12/2007
Last updated
03/20/2009
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