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Organization

CAPE COD PLASTIC SURGERY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC CHARLES FATER MD (PRESIDENT)
(508) 771-0290
Entity
Organization

Contact information

Practice address
51 MAIN ST, HYANNIS, MA 02601-3109
(508) 771-0290
(508) 771-8671
Mailing address
51 MAIN ST, HYANNIS, MA 02601-3109
(508) 771-0290
(508) 771-8671

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
81511
MA

Other

Enumeration date
01/30/2007
Last updated
07/01/2008
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