| NPI | 1730202938 |
|---|---|
| Former Legal Business Name | PIONEER VALLEY WEIGHT AND WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R KEROACK Medical Director 413-205-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-11-07 |