Organization
SOUTH SHORE SURGICAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY WESSEN (BILLING MANAGER)
(781) 413-2114
Entity
Organization
Contact information
Practice address
780 MAIN ST, SUITE 2A, SOUTH WEYMOUTH, MA 02190-1622
(781) 335-4815
(781) 337-9654
Mailing address
780 MAIN ST, SUITE 2A, SOUTH WEYMOUTH, MA 02190-1622
(781) 335-4815
(781) 337-9654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687477
TUFTS HEALTH PLAN
MA
05
—
9706861
—
MA
01
—
M17712
BC/BS OF MASSACHUSETTS
MA
Enumeration date
06/18/2006
Last updated
07/09/2013
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