Organization · Type 2 NPI

Martha's Vineyard Orthopedic Surgery and Sports Medicine

Prosthetic/Orthotic Supplier · West Tisbury, MA

NPI number 1164465266 Active

Practice location

12 Cournoyer Rd
West Tisbury, MA 02575-0547

Fax (508) 693-0319

Mailing address

PO Box 547, 12 Cournoyer Rd
West Tisbury, MA 02575-0547

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

About NPI 1164465266

Martha's Vineyard Orthopedic Surgery and Sports Medicine's National Provider Identifier is 1164465266, issued on Jun 14, 2006. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in West Tisbury, MA. The record was last updated on Jul 16, 2007.