Organization Name: | SOUTH SHORE HOSPITAL |
NPI Number: | 1215384672 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA CRAMER (SURGICAL PHYSICIAN ASSISTANT) |
Mailing Address: | 55 Fogg Rd South Weymouth |
State: | MA US |
Postal Code: | 021902432 |
Phone Number: | 7816248000 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |