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Organization
MARTHAS VINEYARD EAR NOSE AND THROAT SPECIALISTS PC
Active
Organization
MARTHAS VINEYARD EAR NOSE AND THROAT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CALDWELL MD (PRESIDENT)
(508) 648-9468
Entity
Organization
Contact information
Practice address
20 INDIAN HILL RD, WEST TISBURY, MA 02575
(508) 367-7131
Mailing address
60 MEETING HOUSE RD, CHILMARK, MA 02535-2517
(508) 648-9468
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
NULL
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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