Organization
SURGICAL SPECIALISTS OF THE NORTH SHORE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC STUART RUBIN MD (PRESIDENT)
(978) 745-2639
Entity
Organization
Contact information
Practice address
331 HIGHLAND AVE, SALEM, MA 01970-1738
(978) 745-2639
Mailing address
331 HIGHLAND AVE, SALEM, MA 01970-1738
(978) 745-2639
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600262
TUFTS
MA
05
—
9754733
—
MA
01
—
M11739
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/20/2006
Last updated
11/05/2007
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