Provider Demographics
NPI:1306894886
Name:CAPE COD PATHOLOGY CONSULTANTS, P.C.
Entity type:Organization
Organization Name:CAPE COD PATHOLOGY CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ZENTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-862-5829
Mailing Address - Street 1:27 PARK ST
Mailing Address - Street 2:CAPE COD HOSPITAL, DEPARTMENT OF PATHOLOGY
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5230
Practice Address - Country:US
Practice Address - Phone:508-862-5270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAKD33OtherHARVARD PILGRIM
MAM13862OtherBCBS MA
MA702357OtherTUFTS HEALTH PLAN
MACB5878OtherRAILROAD MEDICARE
MA9741828Medicaid
MA000000023459OtherBMC HEALTH NET
MACB5878OtherRAILROAD MEDICARE