Provider First Line Business Practice Location Address:
245 VINEYARD HAVEN RD
Provider Second Line Business Practice Location Address:
ISLAND HEALTH CARE, INC.
Provider Business Practice Location Address City Name:
EDGARTOWN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02539-9000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-939-0717
Provider Business Practice Location Address Fax Number:
508-939-8644
Provider Enumeration Date:
10/22/2009