| South Shore Elder Care | |
|
1 Pearl St Suite 2400 Brockton MA 02301-2864 | |
| (508) 897-6130 | |
| (508) 897-6135 |
| Full Name | South Shore Elder Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | Linda Belanger (DIRECTOR) |
| Authorized Official Contact | 5086382510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Elder Care Po Box 575 West Bridgewater MA 02379-0575 Ph: (877) 588-0821 | South Shore Elder Care 1 Pearl St Suite 2400 Brockton MA 02301-2864 Ph: (508) 897-6130 |
| NPI Number | 1609072404 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609072404 | NPI | - | NPPES |
| 052504 | Other | MA | TUFTS HEALTHPLAN |
| BRV03880 | Other | MA | BLUE CROSS BLUE SHIELD |
| 66510 | Other | MA | HARVARD PILGRIM |
| 9783946 | Medicaid | MA | |
| 0402979 | Other | MA | EVERCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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