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General NPI Number Information
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NPI Number | 1518984319
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Entity Type | Organization
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Legal Business Name | SOUTH SHORE RADIOLOGICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 55 FOGG RD
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City | SOUTH WEYMOUTH
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State | MA
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Zip | 02190-2432
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Country | US
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Telephone | 781-340-8205
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200694
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City | PITTSBURGH
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State | PA
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Zip | 15251-0694
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Country | US
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Telephone | 833-324-6904
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Fax | 302-440-5783
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSHUA STUHLFAUT
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Credential | M.D.
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Telephone | 617-359-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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