# WASHINGTON SQUARE WEIGHTLOSS, LLC

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

## Provider details

- **NPI number:** 1184172645
- **Authorized official:** MR. BRUNO TRAMONTOZZI (OPERATIONAL MANAGER)
- **Authorized official phone:** (508) 699-2222

## Contact information

- **Practice address:** 111 WASHINGTON ST, SUITE 104, PLAINVILLE, MA 02762-2155
- **Practice address phone:** (508) 699-2222
- **Practice address fax:** (508) 699-2223
- **Mailing address:** 111 WASHINGTON ST, SUITE 104, PLAINVILLE, MA 02762-2155
- **Mailing address phone:** (508) 699-2222
- **Mailing address fax:** (508) 699-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 10/26/2016