Provider Demographics
NPI:1083186498
Name:CAPE CARDIOLOGY MD PC
Entity Type:Organization
Organization Name:CAPE CARDIOLOGY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-380-3235
Mailing Address - Street 1:125 UNDERPASS RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-1810
Mailing Address - Country:US
Mailing Address - Phone:207-380-3235
Mailing Address - Fax:
Practice Address - Street 1:125 UNDERPASS RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-1810
Practice Address - Country:US
Practice Address - Phone:508-876-3777
Practice Address - Fax:508-632-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-24
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty