Provider Demographics
NPI:1225164593
Name:ALL CAPE GYNECOLOGY LLC
Entity Type:Organization
Organization Name:ALL CAPE GYNECOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-775-0003
Mailing Address - Street 1:1330 PHINNEYS LN
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1877
Mailing Address - Country:US
Mailing Address - Phone:508-775-0003
Mailing Address - Fax:508-790-1879
Practice Address - Street 1:1330 PHINNEYS LN
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1877
Practice Address - Country:US
Practice Address - Phone:508-775-0003
Practice Address - Fax:508-790-1879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160079174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM20707Medicare PIN