South Shore Ob-Gyn Hanover Ob-Gyn INC

NPI #1962486944 in Hanover, Massachusetts

Provider Information

NPI Number: 1962486944
Entity Type: Organization
Organization Name: South Shore Ob-Gyn Hanover Ob-Gyn INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Dec 2, 2005
Last Updated: Oct 6, 2015

Practice Location

Address: 135 WEBSTER ST
City: Hanover
State: Massachusetts
ZIP Code: 02339-1200
Phone: (781) 878-7020

Authorized Official

Name: DR. GERALD J POULIOT
Title: PRESIDENT
Phone: (781) 878-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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