# MARTHA'S VINEYARD ORTHOPEDIC SURGERY AND SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTO ORTHOPEDICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164465266
- **Authorized official:** RAYMOND R MONTO M.D. (CEO)
- **Authorized official phone:** (508) 693-5949

## Contact information

- **Practice address:** 12 COURNOYER RD, WEST TISBURY, MA 02575-0547
- **Practice address phone:** (508) 693-5949
- **Practice address fax:** (508) 693-0319
- **Mailing address:** PO BOX 547, 12 COURNOYER RD, WEST TISBURY, MA 02575-0547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 07/16/2007