Organization
VINEYARD HEALTHCARE ASSOC.
Active
Other names
preventive medicine assoc. inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHERYL A CHURCH (OFFICE MANAGER)
(617) 447-2146
Entity
Organization
Contact information
Practice address
455 STATE RD STE 13, VINEYARD HAVEN, MA 02568-5621
(508) 693-3900
(508) 693-0444
Mailing address
59 TEMPLE PL STE 662, BOSTON, MA 02111-1307
(617) 447-2146
(617) 259-1627
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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