Organization
KJC MEDI WEIGHTLOSS LLC
Active
Other names
Mediweightloss of Wakefield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE MARIE KILP ACOG (MEDICAL DIRECTOR)
(781) 245-6334
Entity
Organization
Contact information
Practice address
603 SALEM ST, WAKEFIELD, MA 01880-1227
(781) 245-6334
Mailing address
603 SALEM ST, WAKEFIELD, MA 01880-1227
(781) 245-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50673
MA
Other
Enumeration date
07/27/2016
Last updated
09/28/2016
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