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 |