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General NPI Number Information
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NPI Number | 1437175106
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Entity Type | Individual
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Provider Name | LISA MARIE VIEIRA-SALVATORE MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1 HOSPITAL ROAD
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City | OAK BLUFFS
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State | MA
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Zip | 02557
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Country | US
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Telephone | 508-957-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 10 POND VIEW CIR
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568-3920
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Country | US
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Telephone | 508-338-2520
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | 036231
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036231
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 14043
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 250447
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License Number State | MA
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