South Suburban Ear, Nose & Throat Assoc INC

NPI #1568572907 in South Weymouth, Massachusetts

Provider Information

NPI Number: 1568572907
Entity Type: Organization
Organization Name: South Suburban Ear, Nose & Throat Assoc INC
Primary Specialty: Otolaryngology
Enumeration Date: Aug 30, 2006
Last Updated: Mar 7, 2008

Practice Location

Address: 825 MAIN ST
City: South Weymouth
State: Massachusetts
ZIP Code: 02190-1659
Phone: (781) 337-3424

Authorized Official

Name: DR. DAVID B RUDOLPH, MD
Title: PRESIDENT
Phone: (781) 337-7635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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