Organization
SOUTH SHORE SKIN CENTER
Active
Parent organization
SOUTH SHORE SKIN CENTER, LLC
Other names
South Shore Skin Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SHORE SKIN CENTER, LLC
Authorized official
DR. RICHARD F EISEN M.D. (AUTHORIZED OFFICIAL)
(508) 747-0711
Entity
Organization
Contact information
Practice address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 878-6495
(781) 878-6524
Mailing address
1 SCOBEE CIR, UNIT 3, PLYMOUTH, MA 02360-4887
(508) 747-0711
(508) 747-0011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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