Organization Name:  SOUTH SHORE MEDICAL CENTER, INC.


Practice Location:
143 LONGWATER DRIVE  NORWELL, MA 02061 US
Tel: 781-792-4191  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology
N	207N00000X	Physicians Dermatology
N	207Q00000X	Physicians Family Medicine
N	207RG0100X	Physicians Internal Medicine
N	207RR0500X	Physicians Internal Medicine
N	207V00000X	Physicians Obstetrics & Gynecology
N	207X00000X	Physicians Orthopaedic Surgery
N	208000000X	Physicians Pediatrics
N	208600000X	Physicians Surgery
Y	207R00000X	Physicians Internal Medicine

Other Provider Identifiers:

Issuer	Number	State	Type
GROUP BCBSMA	M10287	MA	01
MEDICARE	M10287	MA	01
	9702873	MA	05
GROUP TUFTS	702028	MA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin