| South Shore Medical Center, Inc | |
|
143 Longwater Dr Norwell MA 02061-1683 | |
| (781) 878-5200 | |
| Not Available |
| Full Name | South Shore Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 143 Longwater Dr, Norwell, Massachusetts |
| Authorized Official Name and Position | Jaclyn Valanzola (PROVIDER ENROLLMENT SUPERVISOR) |
| Authorized Official Contact | 7816810384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Medical Center, Inc 141 Longwater Dr Ste 201 Norwell MA 02061-1620 Ph: () - | South Shore Medical Center, Inc 143 Longwater Dr Norwell MA 02061-1683 Ph: (781) 878-5200 |
| NPI Number | 1285112052 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285112052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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