South Shore Skin Center

NPI #1366805335 in Norwell, Massachusetts

Provider Information

NPI Number: 1366805335
Entity Type: Organization
Organization Name: South Shore Skin Center
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTH SHORE SKIN CENTER, LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 29, 2016
Last Updated: Mar 29, 2016

Practice Location

Address: 75 WASHINGTON ST
City: Norwell
State: Massachusetts
ZIP Code: 02061-1795
Phone: (781) 878-6495

Authorized Official

Name: DR. RICHARD F EISEN, M.D.
Title: AUTHORIZED OFFICIAL
Phone: (508) 747-0711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
South Shore Medical Center, INC	Dermatology	Norwell	AI Deep Dive

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