| Organization Name: | WEYMOUTH ENDOSCOPY, LLC |
| NPI Number: | 1033199906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY PHILLIPS (NURSE MANAGER) |
| Mailing Address: | 1085 Main St South Weymouth |
| State: | MA US |
| Postal Code: | 021901547 |
| Phone Number: | 7813312922 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2006 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |