Healthcare Provider Details
I. General information
NPI: 1669770368
Provider Name (Legal Business Name): SOUTH SHORE HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2011
Last Update Date: 03/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
759 GRANITE ST
BRAINTREE MA
02184-5328
US
IV. Provider business mailing address
759 GRANITE ST
BRAINTREE MA
02184-5328
US
V. Phone/Fax
- Phone: 781-848-1950
- Fax: 781-356-4887
- Phone: 781-848-1950
- Fax: 781-356-4887
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
SEARS
BARATZ
Title or Position: PRESIDENT AND MEDICAL DIRECTOR
Credential: M.D.
Phone: 781-848-1950