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Organization
VINEYARD COMPLEMENTARY MEDICINE INC.
Active
Organization
VINEYARD COMPLEMENTARY MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A SANFORD (OFFICE MANAGER)
(508) 693-3800
Entity
Organization
Contact information
Practice address
238 EDGARTOWN VINEYARD HAVEN ROAD, UNIT 1, EDGARTOWN, MA 02539-6932
(508) 693-3800
(508) 693-7473
Mailing address
PO BOX 1760, EDGARTOWN, MA 02539-1760
(508) 693-3800
(508) 693-7473
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2158
MA
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA52541
HARVARD PILGRIM
MA
01
—
Y40071
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/09/2008
Last updated
04/29/2025
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