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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. DETTA HALPIN BS (CREDENTIALING COORDINATOR)
(781) 792-4191
Entity
Organization
Contact information
Practice address
75 WASHINGTON ST, NORWELL, MA 02061-9147
(781) 878-5200
Mailing address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702028
TUFTS
MA
05
—
9702873
—
MA
01
—
M10287
BCBSMA
MA
Enumeration date
11/08/2006
Last updated
04/20/2008
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