# VINEYARD COMPLEMENTARY MEDICINE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598238792
- **Authorized official:** SUSAN SANFORD PT, LIC. AC (PRESIDENT)
- **Authorized official phone:** (508) 693-3800

## Contact information

- **Practice address:** 238 EDGARTOWN VINEYARD HAVEN ROAD, UNIT 1, EDGARTOWN, MA 02539-6932
- **Practice address phone:** (508) 693-3800
- **Practice address fax:** (508) 693-7473
- **Mailing address:** PO BOX 1760, EDGARTOWN, MA 02539-1760
- **Mailing address phone:** (508) 693-3800
- **Mailing address fax:** (508) 693-7473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2019
- **Last updated:** 02/04/2020