Provider Demographics
NPI:1477881282
Name:UROLOGY OUTPATIENT CENTER OF CAPE COD, PC
Entity Type:Organization
Organization Name:UROLOGY OUTPATIENT CENTER OF CAPE COD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-771-9550
Mailing Address - Street 1:110 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3127
Mailing Address - Country:US
Mailing Address - Phone:508-771-9550
Mailing Address - Fax:508-790-9304
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3127
Practice Address - Country:US
Practice Address - Phone:508-771-9550
Practice Address - Fax:508-790-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical