NPI 1811105539 · live from the CMS NPI Registry
Bass River Pediatric Associates
Pediatrics, Hospice and Palliative Medicine in South Yarmouth, MA. National Provider Identifier 1811105539, active.
NPI record
| NPI | 1811105539 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Hospice and Palliative Medicine 2080H0002X |
| Practice location | 237 Station Ave, South Yarmouth, MA 02664 |
| Practice phone | 508-394-2116 |
| Enumerated | May 18, 2007 |
| Last updated | June 6, 2011 |
| Authorized official | Kenneth Colmer, MD |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Hospice and Palliative Medicine primary | 2080H0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.