| NPI | 1215984190 |
|---|---|
| Doing Business As | PROVINCETOWN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WILSA J. RYDER Partner 508-487-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |