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Contact Information

SOUTH SHORE ORTHOPEDICS LLC
2 POND PARK
SUITE 102
HINGHAM, MA02043
 Phone: 781-337-5555
 Fax: 781-335-6047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SOUTH SHORE ORTHOPEDICS LLC · (Female)

NPI Number 1720285018
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2007
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 154105
  • MA Medicaid 9792040
  • Other 34684 FALLON
  • Other 0003906 MEDICARE
  • Other 72024 NEIGHBORHOOD HEALTH PLAN
  • Other 671125 TUFTS HEALTH PLAN
  • MA Other M19412 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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