Organization
SOUTH SHORE UROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R HELFRICH JR. MD (PRESIDENT)
(781) 331-4600
Entity
Organization
Contact information
Practice address
780 MAIN ST, SOUTH WEYMOUTH, MA 02190-1622
(781) 331-4600
(781) 337-5095
Mailing address
780 MAIN ST, SOUTH WEYMOUTH, MA 02190-1622
(781) 331-4600
(781) 337-5095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9718672
—
MA
01
—
M13172
BLUE SHIELD
MA
Enumeration date
10/06/2005
Last updated
08/22/2020
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