Provider First Line Business Practice Location Address:
245 EDGARTOWN- VINEYARD HAVEN ROAD
Provider Second Line Business Practice Location Address:
ISLAND HEALTH CARE
Provider Business Practice Location Address City Name:
EDGARTOWN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-939-9358
Provider Business Practice Location Address Fax Number:
508-939-8644
Provider Enumeration Date:
09/23/2009