Cape Cod Dermatology, Llc

LBN: Cape Cod Dermatology, Llc
Cape Cod Dermatology, Llc is an health care organization with primary practice located at 134 Ansel Hallet Rd , W Yarmouth MA 02673-2582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Cape Cod Dermatology, Llc can be contacted via phone (508) 771-9779, or through Fiske, William Wyman via phone (508) 771-9779.

Contact Information

Primary practice address
134 Ansel Hallet Rd W Yarmouth MA 02673-2582
Phone: (508) 771-9779
Fax: (508) 771-4355
Website:
Map and Directions
Authorized official contact:
Name: Fiske, William Wyman Doctor of Medicine (MD)
Phone: (508) 771-9779

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 74240 Massachusetts

Profile Details

NPI number 1437595006
LBN Legal business name Cape Cod Dermatology, Llc
DBA Doing business as
Authorized official Fiske, William Wyman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2013
Last updated May 22nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437595006 NPPES
Massachusetts MEDICAID 11095135A
Massachusetts Other P00429633
Massachusetts Other J11263

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