Individual
PETER ANDREW BOURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5203
(508) 862-5050
(508) 862-7993
Mailing address
CAPE COD HOSPITAL, 27 PARK STREET, HYANNIS, MA 02601
(508) 862-5050
(508) 862-7993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233978
MA
207RC0000X
Cardiovascular Disease Physician
233978
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
233978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487975124
—
NV
Enumeration date
06/17/2010
Last updated
12/04/2018
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