Provider Demographics
NPI:1144095076
Name:WHOLE HEALTH RHEUMATOLOGY OF CAPE COD, INC.
Entity type:Organization
Organization Name:WHOLE HEALTH RHEUMATOLOGY OF CAPE COD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONOUGH ANASTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-776-9799
Mailing Address - Street 1:681 FALMOUTH RD STE D23
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3327
Mailing Address - Country:US
Mailing Address - Phone:508-681-8428
Mailing Address - Fax:774-871-6034
Practice Address - Street 1:681 FALMOUTH RD STE D23
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3327
Practice Address - Country:US
Practice Address - Phone:508-681-8428
Practice Address - Fax:774-871-6034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty