# SOUTH SHORE MIDWIFERY & GYNECOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720388952
- **Authorized official:** AGNES G DENSMORE CNM (OWNER)
- **Authorized official phone:** (781) 871-7377

## Contact information

- **Practice address:** 2100 WASHINGTON ST, HANOVER, MA 02339-1657
- **Practice address phone:** (781) 871-7377
- **Practice address fax:** (781) 871-3996
- **Mailing address:** 2100 WASHINGTON ST, HANOVER, MA 02339-1657
- **Mailing address phone:** (781) 871-7377
- **Mailing address fax:** (781) 871-3996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | RN199200 | MA | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 10/21/2010