Southeastern Vascular, P.c.

NPI #1205866274 in Hyannis, Massachusetts

Provider Information

NPI Number: 1205866274
Entity Type: Organization
Organization Name: Southeastern Vascular, P.c.
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jul 4, 2006
Last Updated: Aug 30, 2021

Practice Location

Address: 100 CAMP ST
City: Hyannis
State: Massachusetts
ZIP Code: 02601-3007
Phone: (508) 775-1984

Authorized Official

Name: LYNN ELLINWOOD
Title: PRACTICE MANAGER
Phone: (508) 775-1984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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