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Contact Information

SURGICAL SPECIALISTS OF THE NORTH SHORE,INC
331 HIGHLAND AVE
SALEM, MA01970-1738
 Phone: 978-745-2639
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SURGICAL SPECIALISTS OF THE NORTH SHORE,INC

NPI Number 1619936531
LBN Legal business name SURGICAL SPECIALISTS OF THE NORTH SHORE,INC
Authorized official MARC RUBIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2006
Last updated 11/05/2007 - About 19 years ago
Identifiers
MA Medicaid 9754733
MA Other M11739 BLUE CROSS BLUE SHIELD
MA Other 600262 TUFTS
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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