Individual
MR. ALAN EDWIN CORDTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 MAIN STREET, FALMOUTH, MA 02540
(508) 367-3937
(508) 548-7407
Mailing address
78 MAIN STREET, FALMOUTH, MA 02540
(508) 367-3937
(928) 729-8268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MA
208600000X
Surgery Physician
31234
OK
208600000X
Surgery Physician
Primary
39282
MA
208600000X
Surgery Physician
47782
AZ
2086S0129X
Vascular Surgery Physician
39282
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097699
—
MA
Enumeration date
10/17/2006
Last updated
03/24/2016
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