Alliance Internal Medicine LLC
Internal Medicine in Vineyard Haven, MA. Organization (NPI-2).
NPI number1366744153
StatusActive
Last updated in NPPESJun 2, 2014
Details
- NPI
- 1366744153
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Internal Medicine LLC
- Organization subpart
- No
- Enumeration date
- Nov 30, 2010
- Last updated
- Jun 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 224147 | MA | Yes |
Other names
- Alliance Internal Medicine (Doing Business As)
Practice location
455 State Rd Unit 11Vineyard Haven, MA 02568-5695
Phone 508-627-3600 · Fax 508-627-3662
Mailing address
Po Box 1210Edgartown, MA 02539-1210
Authorized official
Gail Marie Obrien
Doctor
5086273600
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