Organization
SIMON WEITZMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN GILLIS (MANAGER)
(781) 444-9080
Entity
Organization
Contact information
Practice address
105 CHESTNUT ST, NEEDHAM, MA 02492-2599
(781) 444-9080
Mailing address
105 CHESTNUT ST, NEEDHAM, MA 02492-2599
(781) 444-9080
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
41758
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062011
—
MA
Enumeration date
02/24/2009
Last updated
07/14/2009
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