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NPI Code Detail

MEDICARE: SOUTH SHORE MDS, LLC

MEDICARE: SOUTH SHORE MDS, LLC
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician
2207RH0005XHypertension Specialist Physician
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1548117872
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH SHORE MDS, LLC
Provider Business Mailing Address
First Line : 2048 WASHINGTON ST STE 3
Second Line :
City : HANOVER
State : MA
Zip : 02339-1658
Country : US
Telephone Number : 781-561-0460
Fax Number : 781-243-4064
Provider Business Practice Location Address
First Line : 2048 WASHINGTON ST STE 3
Second Line :
City : HANOVER
State : MA
Zip : 02339-1658
Country : US
Telephone Number : 781-561-0460
Fax Number : 781-243-4064
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. SHERIFAT A HINCHEY
Credential : MD, MPH
Telephone Number : 781-561-0460
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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