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Contact Information

ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC
300 CONGRESS ST
STE 408
QUINCY, MA02169-0907
 Phone: 617-773-7431
 Fax: 617-773-9592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC

NPI Number 1710387386
LBN Legal business name ASSOCIATES OF SOUTH SHORE DERMATOLOGY LLC
Authorized official STEPHEN WERTH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2014
Last updated 09/17/2014 - About 12 years ago
Identifiers
MA License # 73556
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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