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SOUTH SHORE MEDICAL CENTER INC NPI 1033778824


NPI Information

NPI: 1033778824
Provider Name: SOUTH SHORE MEDICAL CENTER, INC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
143 LONGWATER DR
NORWELL, MA
ZIP 02061
Phone: (781) 878-5200
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SOUTH SHORE MEDICAL CENTER, INC is a dermatology in Norwell, MA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. SOUTH SHORE MEDICAL CENTER, INC NPI is 1033778824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

143 LONGWATER DR
NORWELL, MA
ZIP 02061-683
Phone: (781) 878-5200

The provider's authorized official is Jaclyn Valanzola .
The authorized official title is Credentialing Supervisor and has the following contact phone number (781) 681-0384.

The enumeration date for this NPI number is 6/6/2019 and was last updated on 1/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4207X00000XOrthopaedic SurgeryNo
5208000000XPediatricsNo
6208800000XUrologyNo
7208D00000XGeneral PracticeNo
8213E00000XPodiatristNo
9207KA0200XAllergy & ImmunologyAllergyNo
10207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669411856MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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