Organization
CAPE COD EMERGENCY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG S CORNWALL MD (CHIEF OF ER DEPT)
(508) 862-5981
Entity
Organization
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5981
Mailing address
8 OAK PARK DR, BEDFORD, MA 01730-1414
(781) 280-1683
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110067342A
—
MA
01
—
CH7855
MEDICARE/TRAVELERS
MA
01
—
M17425
BCBS
MA
Enumeration date
05/23/2006
Last updated
01/13/2015
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