Organization
SOUTH SUBURBAN GASTROENTEROLOGY, PC
Active
Parent organization
SOUTH SUBURBAN GASTROENTEROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SUBURBAN GASTROENTEROLOGY
Authorized official
MARY PHILLIPS (PRACTICE ADMINISTRATOR)
(781) 331-2922
Entity
Organization
Contact information
Practice address
1085 MAIN ST, SOUTH WEYMOUTH, MA 02190-1547
(781) 331-2922
(781) 335-5702
Mailing address
1085 MAIN ST, SOUTH WEYMOUTH, MA 02190-1547
(781) 331-2922
(781) 335-5702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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