| NPI | 1730632043 |
|---|---|
| Doing Business As | SMG SOUTH SHORE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH CAPUTO Manager 773-257-2905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |