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Organization
SOUTH SHORE MEDICAL CENTER, INC.
Active
Organization
SOUTH SHORE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACLYN VALANZOLA (SUPERVISOR)
(781) 681-0384
Entity
Organization
Contact information
Practice address
143 LONGWATER DRIVE, NORWELL, MA 02061-1795
(781) 792-4191
(781) 878-6750
Mailing address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 792-4191
(781) 878-6750
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702028
GROUP TUFTS
MA
05
—
9702873
—
MA
01
—
M10287
MEDICARE
MA
Enumeration date
06/05/2006
Last updated
01/23/2024
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