Organization
SOUTH SHORE ORTHOPAEDIC SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN R MCCONVILLE MD (PRESIDENT)
(781) 331-4450
Entity
Organization
Contact information
Practice address
797 MAIN STREET, SOUTH WEYMOUTH, MA 02190
(781) 331-4450
(781) 335-6047
Mailing address
797 MAIN STREET, SOUTH WEYMOUTH, MA 02190
(781) 331-4450
(781) 335-6047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9785531
—
MA
Enumeration date
11/17/2006
Last updated
08/22/2020
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