SOUTH SHORE ENDOSCOPY CENTER INC NPI 1831122159

NPI Information

SOUTH SHORE ENDOSCOPY CENTER, INC is an endoscopy clinic center in Braintree, MA. SOUTH SHORE ENDOSCOPY CENTER, INC NPI is 1831122159. The provider is registered as an organization entity type.

The provider's business location address is:

659 WASHINGTON ST
BRAINTREE, MA
ZIP 02184-778
Phone: (781) 849-9577
Fax: (781) 849-9581

The provider's authorized official is Peter Grape .
The authorized official title is Medical Director and has the following contact phone number (781) 952-1249.

The CLIA number assigned to this NPI record is 22D0927903 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 3/30/2021.

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:

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