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Organization
VINEYARD MEDICAL SERVICES PC
Active
Organization
VINEYARD MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JACOBS MD (PRESIDENT)
(508) 639-4400
Entity
Organization
Contact information
Practice address
364 STATE RD, VINEYARD HAVEN, MA 02568
(508) 693-4400
(508) 693-2098
Mailing address
364 STATE RD, VINEYARD HAVEN, MA 02568
(508) 693-4400
(508) 693-2098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091889A
—
MA
Enumeration date
08/20/2007
Last updated
07/15/2014
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