Individual
ANDREW D. MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 PARK ST., C/O CAPE COD HOSPITAL, HYANNIS, MA 02601
(508) 862-5845
(508) 862-7387
Mailing address
27 PARK ST., C/O CAPE COD HOSPITAL, HYANNIS, MA 02601
(508) 862-5845
(508) 862-7387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301055379
MI
2084P0800X
Psychiatry Physician
Primary
53911
MA
2084P0804X
Child & Adolescent Psychiatry Physician
4301055379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258880110
—
MI
01
—
700H262290
BLUE CROSS-BLUE CROSS
—
01
—
AM055379
CHAMPUS-CHAMPUS
—
Enumeration date
12/15/2005
Last updated
07/14/2011
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