Organization
SOUTH SHORE UROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R. HELFRICH JR. M.D. (PRESIDENT)
(781) 331-4600
Entity
Organization
Contact information
Practice address
780 MAIN ST, SUITE 2C, SOUTH WEYMOUTH, MA 02190-1639
(781) 331-4600
(781) 337-5095
Mailing address
780 MAIN ST, SUITE 2C, SOUTH WEYMOUTH, MA 02190-1639
(781) 331-4600
(781) 337-5095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36004
FALLON
—
01
—
5694099
COVENTRY/FIRST HEALTH
—
01
—
600135
TUFTS
—
05
—
9718672
—
MA
01
—
M13172
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/12/2012
Last updated
04/12/2012
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