| NPI | 1366805335 |
|---|---|
| Doing Business As | SOUTH SHORE SKIN CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD F EISEN Authorized Official 508-747-0711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |