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Organization

CNV CAPE COD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DERYA BORA HAZAR MD (SENIOR PARTNER)
(617) 739-2100
Entity
Organization

Contact information

Practice address
31 PINE ST STE 204, NORFOLK, MA 02056-1680
(617) 739-2100
Mailing address
31 PINE ST STE 204, NORFOLK, MA 02056-1680
(617) 739-2100

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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