| Organization Name: | HYANNIS EAR, NOSE AND THROAT ASSOC INC |
| NPI Number: | 1033369905 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN NICHOLAS VANDEMOER (PRESIDENT) |
| Mailing Address: | 68 Camp St Hyannis |
| State: | MA US |
| Postal Code: | 026013048 |
| Phone Number: | 5087757026 |
| Fax Number: | 5087710499 |
| NPI Enumeration Date: | 09/26/2008 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |