Organization
SOUTH SHORE MEDICAL CENTER, INC
Active
Parent organization
SOUTH SHORE MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SHORE MEDICAL CENTER, INC
Authorized official
JACLYN VALANZOLA (PROVIDER ENROLLMENT SUPERVISOR)
(781) 681-0384
Entity
Organization
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
141 LONGWATER DR STE 201, NORWELL, MA 02061-1620
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
01/23/2024
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