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1740591239
SOUTH SHORE MEDICAL GROUP INC
METAIRIE, LA
NPI
1740591239
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Entity Type
Organization
Authorized Contact
ANDRIY MATROFAYLO
CEO
504-885-0515
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
SOUTH SHORE MEDICAL GROUP INC
4515 SHORES DR SUITE 100
METAIRIE, LA 70006-6808
Phone number: 504-885-0515
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Mailing Address
SOUTH SHORE MEDICAL GROUP INC
4515 SHORES DR SUITE 100
METAIRIE, LA 70006-6808
Phone number: 504-885-0515
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