# SOUTH SHORE MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH SHORE MEDICAL CENTER, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285112052
- **Legal business name:** SOUTH SHORE MEDICAL CENTER, INC
- **Authorized official:** JACLYN VALANZOLA (PROVIDER ENROLLMENT SUPERVISOR)
- **Authorized official phone:** (781) 681-0384

## Contact information

- **Practice address:** 143 LONGWATER DR, NORWELL, MA 02061-1683
- **Practice address phone:** (781) 878-5200
- **Mailing address:** 141 LONGWATER DR STE 201, NORWELL, MA 02061-1620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 01/23/2024