Martha's Vineyard Orthopedic Surgery and Sports Medicine
NPI #1164465266 in West Tisbury, Massachusetts
Provider Information
- NPI Number
- 1164465266
- Entity Type
- Organization
- Organization Name
- Martha's Vineyard Orthopedic Surgery and Sports Medicine
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 12 COURNOYER RD
- City
- West Tisbury
- State
- Massachusetts
- ZIP Code
- 02575-0547
- Phone
- (508) 693-5949
Authorized Official
- Name
- RAYMOND R MONTO, M.D.
- Title
- CEO
- Phone
- (508) 693-5949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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