South Shore Medical Center, INC

NPI #1033778824 in Norwell, Massachusetts

Provider Information

NPI Number: 1033778824
Entity Type: Organization
Organization Name: South Shore Medical Center, INC
Primary Specialty: Dermatology
Enumeration Date: Jun 6, 2019
Last Updated: Jan 23, 2024

Practice Location

Address: 143 LONGWATER DR
City: Norwell
State: Massachusetts
ZIP Code: 02061-1683
Phone: (781) 878-5200

Authorized Official

Name: JACLYN VALANZOLA
Title: CREDENTIALING SUPERVISOR
Phone: (781) 681-0384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery	207X00000X
Pediatrics	208000000X
Urology	208800000X
General Practice	208D00000X
Podiatrist	213E00000X
Allergy & Immunology - Allergy — Allergy	207KA0200X
Dermatology	207N00000X	Primary

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Provider Name	Specialty	City
Joyce Imahiyerobo	Dermatology	Norwell	AI Deep Dive
Kelly O'connor, MD	Dermatology	Norwell	AI Deep Dive
Richard Franklin Eisen, MD	Dermatology	Boston	AI Deep Dive
Monique E Roth, MD	Dermatology	Dedham	AI Deep Dive

Organizations

Provider Name	Specialty	City
South Shore Skin Center Part of South Shore Skin Center, LLC	Dermatology	Norwell	AI Deep Dive

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