Provider Demographics
NPI:1619130531
Name:CAPE COD SURGERY CENTER, INC.
Entity Type:Organization
Organization Name:CAPE COD SURGERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTIVEGNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:774-238-4410
Mailing Address - Street 1:PO BOX 674
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-0674
Mailing Address - Country:US
Mailing Address - Phone:774-238-4410
Mailing Address - Fax:774-238-4412
Practice Address - Street 1:160 FALMOUTH RD
Practice Address - Street 2:SUITE B
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2652
Practice Address - Country:US
Practice Address - Phone:774-238-4410
Practice Address - Fax:774-238-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical