Individual
MR. JOEL P DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
45 WHITE CAP LANE, WEST BARNSTABLE, MA 02668
(508) 362-8329
(508) 362-8329
Mailing address
PO BOX 336, 45 WHITE CAP LANE, WEST BARNSTABLE, MA 02668
(508) 362-8329
(508) 362-8329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523538
—
MA
01
—
355754
BCBS
MA
01
—
700149
HARVARD PILGRIM HEALTH
MA
01
—
759527
TUFTS
MA
Enumeration date
08/30/2006
Last updated
12/19/2007
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