Individual provider · Type 1 NPI
J Nicholas Vandemoer, MD
Specialist · Centerville, MA
NPI number
1245432772
Active
Practice location
49 Lakeside Dr E
Centerville, MA 02632-1834
Mailing address
68 Camp St
Hyannis, MA 02601-3048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 36521 (MA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1245432772
J Nicholas Vandemoer, MD's National Provider Identifier is 1245432772, issued on Jun 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Centerville, MA. The record was last updated on Oct 27, 2019.