South Shore Neurospine Group, LLC

NPI #1164620589 in South Weymouth, Massachusetts

Provider Information

NPI Number: 1164620589
Entity Type: Organization
Organization Name: South Shore Neurospine Group, LLC
Primary Specialty: Specialist
Enumeration Date: Jul 6, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 780 MAIN ST
City: South Weymouth
State: Massachusetts
ZIP Code: 02190-1622
Phone: (781) 331-0250

Authorized Official

Name: MS. PAMELA JOHNSON
Title: PRACTICE MANAGER
Phone: (781) 331-0270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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