Organization · Type 2 NPI
Vineyard Healthcare Assoc.
Addiction Medicine (Family Medicine) Physician · Vineyard Haven, MA
NPI number
1194949073
Active
Practice location
455 State Rd Ste 13
Vineyard Haven, MA 02568-5621
Fax (508) 693-0444
Mailing address
59 Temple Pl Ste 662
Boston, MA 02111-1307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1194949073
Vineyard Healthcare Assoc.'s National Provider Identifier is 1194949073, issued on Apr 12, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Vineyard Haven, MA. The record was last updated on Aug 22, 2020.