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
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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