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Organization

NANTUCKET PHYSICIANS ORGANIZATION

Active
Parent organization
NANTUCKET COTTAGE HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
NANTUCKET COTTAGE HOSPITAL
Authorized official
MRS. JENNIFER MALLOY MONTO JD, RN (MANAGER)
(508) 825-1327
Entity
Organization

Contact information

Practice address
57 PROSPECT ST, ROOM 101, NANTUCKET, MA 02554-2799
(508) 776-7428
(508) 693-5942
Mailing address
57 PROSPECT ST, ROOM 122, NANTUCKET, MA 02554-2799
(508) 825-1327
(508) 825-8379

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
242762
MA
207X00000X
Orthopaedic Surgery Physician
Primary
150697
MA

Other

Enumeration date
10/27/2009
Last updated
08/16/2017
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