Provider Demographics
NPI:1770694846
Name:UROLOGY ASSOCIATES OF CAPE COD, P.C.
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES OF CAPE COD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:S
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:
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:
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:2006-08-31
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3033716Medicaid
MA3109861Medicaid
MA2115221Medicaid
MA2045133Medicaid
MA9750959Medicaid
MA2115221Medicaid
MAF61387Medicare UPIN
MAB75406Medicare UPIN
MAL15100Medicare ID - Type Unspecified
MAJ07274Medicare ID - Type Unspecified
MAP51598Medicare UPIN
MAA66581Medicare UPIN
MA9750959Medicaid
MAI37144Medicare UPIN
MA3109861Medicaid
MA3033716Medicaid