| NPI | 1578016390 |
|---|---|
| Doing Business As | MEDIWEIGHTLOSS OF WATERTOWN |
| Entity Type | Organization |
| Authorized Contact | JEANNE M KILP Medical Director 617-923-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 50673) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-10-10 |