Organization
VINEYARD EKG BILLING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SOUZA (BILLING AGENT CEO)
(508) 548-8989
Entity
Organization
Contact information
Practice address
1 HOSPITAL ROAD, OAK BLUFFS, MA 02557
(508) 693-0410
(508) 548-5789
Mailing address
PO BOX 905, FALMOUTH, MA 02541
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17792
BLUE CROSS
MA
Enumeration date
01/25/2007
Last updated
09/02/2016
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