| NPI | 1205866274 |
|---|---|
| Former Legal Business Name | SOUTHEASTERN SURGICAL ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | LYNN ELLINWOOD Practice Manager 508-775-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-08-30 |