Organization
SOUTH SHORE NEPHROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIOTR LAZOWSKI DOCTOR (DOCTOR)
(508) 747-4883
Entity
Organization
Contact information
Practice address
47 OBERY STREET, STE 1A, PLYMOUTH, MA 02360-2229
(508) 747-4883
(508) 747-6661
Mailing address
47 OBERY STREET, STE 1A, PLYMOUTH, MA 02360-2229
(508) 747-4883
(508) 747-6661
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412162
TUFTS HEALTH PLAN PAYEE N
MA
05
—
9749331
—
MA
01
—
M18774
BLUE SHIELD GROUP NUMBER
MA
Enumeration date
04/18/2006
Last updated
07/21/2022
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