Provider Demographics
NPI:1033942453
Name:CAPE COD TELAMEDICINE
Entity type:Organization
Organization Name:CAPE COD TELAMEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:DURFEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-868-7915
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:CATAUMET
Mailing Address - State:MA
Mailing Address - Zip Code:02534-0370
Mailing Address - Country:US
Mailing Address - Phone:508-868-7915
Mailing Address - Fax:
Practice Address - Street 1:5 OLD CATAUMET PSGE
Practice Address - Street 2:
Practice Address - City:CATAUMET
Practice Address - State:MA
Practice Address - Zip Code:02534-1046
Practice Address - Country:US
Practice Address - Phone:508-868-7915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care