# JM KILP WEIGHT LOSS WATERTOWN INC

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

## Provider details

- **NPI number:** 1457752362
- **Authorized official:** JEANNE M KILP MD (PRESIDENT)
- **Authorized official phone:** (617) 240-9472

## Contact information

- **Practice address:** 40 SPRING ST, WATERTOWN, MA 02472-3474
- **Practice address phone:** (617) 923-6334
- **Practice address fax:** (617) 923-6338
- **Mailing address:** 94 POND ST, STONEHAM, MA 02180-2864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2014
- **Last updated:** 09/10/2014