Vineyard Personalized Medicine LLC
Vineyard Personalized Medicine LLC is a General Practice Physician in West Tisbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.
- Licensed in
- MA
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24 Cournoyer RdWest Tisbury, MA 02575
Phone: (508) 693-1300
Fax: (508) 693-1305
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 72590 (MA) |
|---|
Record details
| NPI number | 1275894875 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Nagy — Sole Proprietor · (508) 693-1300 |
| Other names | Environmental Health Center Of Martha'S Vineyard |
| NPI enumerated | May 31, 2012 |
| Last updated in NPPES | November 25, 2015 |
| Mailing address | 24 Cournoyer Rd, Vineyard Haven, MA 02568-7625 |