OrganizationActive
Martha'S Vineyard Orthopedic Surgery and Sports Medicine
NPI 1164465266 · Prosthetic/Orthotic Supplier · West Tisbury, MA
Provider details
- NPI number
- 1164465266
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Authorized official
- Raymond Monto, Ceo
Practice location
12 Cournoyer Rd
West Tisbury, MA 02575-0547
Phone: (508) 693-5949
Fax: (508) 693-0319
Mailing address
Po Box 547
West Tisbury, MA 02575-0547
Registry dates
- Enumerated
- 2006-06-14
- Last updated
- 2007-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.