Individual
DR. JOHN C HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 457-0129
Mailing address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 457-0129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207724
MA
207RI0011X
Interventional Cardiology Physician
207724
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029669
BOSTON MEDICAL CENTER
MA
01
—
0038772
NEIGHBORHOOD HEALTH
MA
05
—
0119369
—
MA
01
—
04-3488655
UNITED HEALTHCARE
MA
01
—
043488655
TRICARE
MA
01
—
11456227
CAQH
—
01
—
1162585002
CIGNA
MA
01
—
1518069954
GREAT WEST HEALTHCARE
MA
01
—
207724
MA LICENSE
MA
01
—
3501979
AETNA
MA
01
—
465562
TUFTS
MA
01
—
A32046
BLUE CROSS BLUE SHIELD
MA
01
—
AA15235
HARVARD PILGRIM
MA
01
—
MH0541905A
MA CONTROLLED SUBSTANCE
MA
01
—
P00166554
MEDICARE ID
MA
Enumeration date
09/05/2006
Last updated
03/07/2023
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