MEDICARE: SOUTH SHORE HEARING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter
2	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1427246990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH SHORE HEARING CENTER

Provider Business Mailing Address
First Line	:	541 MAIN ST
Second Line	:	SUITE 418
City	:	WEYMOUTH
State	:	MA
Zip	:	02190-1868
Country	:	US
Telephone Number	:	781-337-6860
Fax Number	:	781-337-2103

Provider Business Practice Location Address
First Line	:	541 MAIN ST
Second Line	:	SUITE 418
City	:	WEYMOUTH
State	:	MA
Zip	:	02190-1868
Country	:	US
Telephone Number	:	781-337-6860
Fax Number	:	781-337-2103

Authorized Official
Title or Position	:	OWNER/AUDIOLOGIST
Name	:	DR. DAVID CITRON III
Credential	:	PH.D.
Telephone Number	:	781-337-6860

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	10/10/2007

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Directions to “SOUTH SHORE HEARING CENTER ” Practice Location

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