Provider Demographics
NPI:1609973809
Name:CAPE COD HAND SURGERY, PC
Entity Type:Organization
Organization Name:CAPE COD HAND SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MATTOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-539-6175
Mailing Address - Street 1:5 INDUSTRIAL DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3464
Mailing Address - Country:US
Mailing Address - Phone:508-539-6175
Mailing Address - Fax:
Practice Address - Street 1:5 INDUSTRIAL DR
Practice Address - Street 2:SUITE 109
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3464
Practice Address - Country:US
Practice Address - Phone:508-539-6175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2222182086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty