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Organization
SOUTHCOAST PHYSICIANS GROUP, INC.
Active
Organization
SOUTHCOAST PHYSICIANS GROUP, INC.
Active
Other names
Southcoast Physician Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROSE (SHS VICE PRESIDENT OF CONTRACTING)
(508) 973-2950
Entity
Organization
Contact information
Practice address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Mailing address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
10/11/2005
Last updated
06/28/2019
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