Simon Weitzman Llc | |
105 Chestnut St Needham MA 02492-2599 | |
(781) 444-9080 | |
Not Available |
Full Name | Simon Weitzman Llc |
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Speciality | Clinic/center - Primary Care |
Location | 105 Chestnut St, Needham, Massachusetts |
Authorized Official Name and Position | Kristin Gillis (MANAGER) |
Authorized Official Contact | 7814449080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Simon Weitzman Llc 105 Chestnut St Needham MA 02492-2599 Ph: (781) 444-9080 | Simon Weitzman Llc 105 Chestnut St Needham MA 02492-2599 Ph: (781) 444-9080 |
NPI Number | 1174763619 |
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Provider Enumeration Date | 02/24/2009 |
Last Update Date | 07/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174763619 | NPI | - | NPPES |
2062011 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 41758 (Massachusetts) | Primary |
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