Organization
COTTAGE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN CAPONE NP (NURSE PRACTITIONER)
(781) 300-8916
Entity
Organization
Contact information
Practice address
8 CEDAR PARK RD, SHARON, MA 02067-2548
(781) 300-8916
Mailing address
8 CEDAR PARK RD, SHARON, MA 02067-2548
(781) 300-8916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225497076
—
RI
Enumeration date
08/18/2021
Last updated
08/18/2021
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