South Shore Skin Center, Llc

LBN: South Shore Skin Center, Llc
South Shore Skin Center, Llc is an health care organization with primary practice located at 1 Scobee Cir Unit 3, Plymouth MA 02360-4887. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Shore Skin Center, Llc can be contacted via phone (508) 747-0711, or through Eisen, Richard F via phone (508) 747-0711.

Contact Information

Primary practice address
1 Scobee Cir Unit 3 Plymouth MA 02360-4887
Phone: (508) 747-0711
Fax: (508) 746-9265
Website:
Map and Directions
Authorized official contact:
Name: Eisen, Richard F Doctor of Medicine (MD)
Phone: (508) 747-0711

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1790763159
LBN Legal business name South Shore Skin Center, Llc
DBA Doing business as
Authorized official Eisen, Richard F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2006
Last updated Jun 29th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790763159 NPPES
Massachusetts Other 685603 TUFTS HEALTH PLAN
Massachusetts Other M17452 TUFTS HEALTH PLAN

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