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South Shore Skin Center, LLC

Specialist in Plymouth, MA · enumerated 2006 · authorized official Richard Eisen, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790763159

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Registry record

Entity type Organization (Type 2)
Legal business name South Shore Skin Center, LLC
Practice address 1 Scobee Cir, Unit 3, Plymouth, MA, 02360
Fax (508) 746-9265
Enumeration date Jan 5, 2006
Last updated in NPPES Jun 29, 2015

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Richard Eisen
Title Manager

Other identifiers

Identifier Type State Issuer
685603 Other MA TUFTS HEALTH PLAN
M17452 Other MA BLUE CROSS AND BLUE SHIEL

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for South Shore Skin Center, LLC?
NPPES lists Richard Eisen (Manager) as the authorized official for this organization.
What is the NPI number for South Shore Skin Center, LLC?
The NPI for South Shore Skin Center, LLC is 1790763159, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-29.