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Organization
SOUTH SHORE PRIMARY CARE PC
Active
Organization
SOUTH SHORE PRIMARY CARE PC
Active
Other names
Ravinder Soodan MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDER S SOONDAN MD (PRESIDENT)
(781) 331-2010
Entity
Organization
Contact information
Practice address
72 SHARPE STREET, SUITE A10, HINGHAM, MA 02043
(781) 331-2010
(781) 340-9915
Mailing address
PO BOX 295, S WEYMOUTH, MA 02190
(781) 331-2010
(781) 340-9915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59327
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614504
TUFTS
MA
01
—
64627
HARVARD PILGRIM
MA
05
—
9782885
—
MA
01
—
M16803
BCBS
MA
Enumeration date
04/28/2006
Last updated
08/22/2020
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