MEDICARE: SSHC, INC.

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	261QP2300X	Primary Care Clinic/Center		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	600659	OTHER		TUFTS HEALTH PLAN
3	M15468	OTHER		BCBS
4	M15468	OTHER	MA	BCBSMA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	0463966	OTHER		AETNA
7	0957512	OTHER		CIGNA

General Provider Information

NPI Number	:	1508858697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SSHC, INC.

Provider Business Mailing Address
First Line	:	275 TURNPIKE ST
Second Line	:	STE 200
City	:	CANTON
State	:	MA
Zip	:	02021
Country	:	US
Telephone Number	:	781-848-1950
Fax Number	:	781-356-4887

Provider Business Practice Location Address
First Line	:	275 TURNPIKE ST
Second Line	:	STE 200
City	:	CANTON
State	:	MA
Zip	:	02021
Country	:	US
Telephone Number	:	781-848-1950
Fax Number	:	781-356-4887

Authorized Official
Title or Position	:	OWNER, PRESIDENT & MEDICAL DIRECTOR
Name	:	DR. ROBERT SEARS BARATZ
Credential	:	MD
Telephone Number	:	781-848-1950

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	02/18/2022

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Directions to “SSHC, INC. ” Practice Location

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