Unknown Individual – Family Medicine Physician, NPI 1063456002
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 648
25 FREEMAN STREET
HARWICH PORT, MA 026460648
Phone: (508) 432-0887
Fax: (508) 432-4894
Type: Mailing
25, Freeman Street, Harwich Port, Harwich, Barnstable County, Massachusetts, 02645, United States
HARWICH PORT, MA 026461901
Phone: (508) 432-0887
Fax: (508) 432-4894
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02646)
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