| Provincetown Medical Group | |
|
16 Shank Painter Rd Provincetown MA 02657-1343 | |
| (508) 487-3505 | |
| (508) 487-9023 |
| Full Name | Provincetown Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 Shank Painter Rd, Provincetown, Massachusetts |
| Authorized Official Name and Position | Wilsa J. Ryder (PARTNER) |
| Authorized Official Contact | 5084873505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provincetown Medical Group 16 Shank Painter Rd Provincetown MA 02657-1343 Ph: (508) 487-3505 | Provincetown Medical Group 16 Shank Painter Rd Provincetown MA 02657-1343 Ph: (508) 487-3505 |
| NPI Number | 1215984190 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215984190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Outer Cape Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-3285 |