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Organization
SOUTH SUBURBAN GASTROENTEROLOGY, PC
Active
Organization
SOUTH SUBURBAN GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PHILLIPS (PRACTICE ADMINISTRATOR)
(781) 331-2922
Entity
Organization
Contact information
Practice address
1085 MAIN ST, SOUTH WEYMOUTH, MA 02190-1547
(781) 331-2922
(781) 335-5702
Mailing address
1085 MAIN ST, SOUTH WEYMOUTH, MA 02190-1547
(781) 331-2922
(781) 335-5702
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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