Organization
MEEA-CAPE COD PHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN HOLMES (CFO)
(617) 573-6950
Entity
Organization
Contact information
Practice address
5 INDUSTRIAL DR STE 201, MASHPEE, MA 02649-3465
(508) 539-2444
Mailing address
300 CROWN COLONY DR STE 201, QUINCY, MA 02169-0904
(617) 804-4789
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
04/10/2021
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