Organization
SOUTH SHORE MIDWIFERY & GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES G DENSMORE CNM (OWNER)
(781) 871-7377
Entity
Organization
Contact information
Practice address
2100 WASHINGTON ST, HANOVER, MA 02339-1657
(781) 871-7377
(781) 871-3996
Mailing address
2100 WASHINGTON ST, HANOVER, MA 02339-1657
(781) 871-7377
(781) 871-3996
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN199200
MA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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