Organization
ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G WERTH MD (OWNER)
(617) 773-7431
Entity
Organization
Contact information
Practice address
300 CONGRESS ST, STE 408, QUINCY, MA 02169-0907
(617) 773-7431
(617) 773-9592
Mailing address
300 CONGRESS ST, STE 408, QUINCY, MA 02169
(617) 773-7431
(617) 773-9592
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
73556
MA
Other
Enumeration date
09/02/2014
Last updated
09/17/2014
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