# SURGICAL WEIGHT LOSS SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053616557
- **Authorized official:** DR. ADAM GLASGOW MD (DIRECTOR)
- **Authorized official phone:** (508) 668-4400

## Contact information

- **Practice address:** 278 UNION ST, EAST WALPOLE, MA 02032-1037
- **Practice address phone:** (508) 668-4400
- **Practice address fax:** (508) 668-4420
- **Mailing address:** 278 UNION ST, EAST WALPOLE, MA 02032-1037
- **Mailing address phone:** (508) 668-4400
- **Mailing address fax:** (508) 664-4420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2011
- **Last updated:** 10/18/2013
