Provider Demographics
NPI:1013032267
Name:CAPE ANN PEDIATRICIANS
Entity Type:Organization
Organization Name:CAPE ANN PEDIATRICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-283-5079
Mailing Address - Street 1:298 WASHINGTON ST
Mailing Address - Street 2:BABSON PROFESSIONAL BUILDING
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-4832
Mailing Address - Country:US
Mailing Address - Phone:978-283-5079
Mailing Address - Fax:978-282-1371
Practice Address - Street 1:298 WASHINGTON ST
Practice Address - Street 2:BABSON PROFESSIONAL BUILDING
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-4832
Practice Address - Country:US
Practice Address - Phone:978-283-5079
Practice Address - Fax:978-282-1371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty