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Contact Information

EMERALD PHYSICIAN SERVICES, LLC
433 W MAIN ST
HYANNIS, MA02601
 Phone: 508-778-4777
 Fax: 508-771-9555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for EMERALD PHYSICIAN SERVICES LLC · (Female)

NPI Number 1952443244
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 08/08/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9787208
  • Other CH1554 RR MEDICARE GROUP NUMBER
  • MA Other 2520242 AETNA GROUP NUMBER
  • MA Other M16587 BLUE CROSS GROUP NUMBER
  • MA Other 685025 TUFTS INS. GROUP NUMBER
  • MA Other 685025 USFHP GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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