Commonwealth Weight Loss, LLC

Organization Active NPI Surgery Physician · Stoneham, MA

NPI 1184079121 · NPPES record last updated Apr 27, 2016

Key facts

NPI
1184079121
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
COMMONWEALTH WEIGHT LOSS, LLC
Practice address
91 Montvale Ave
Suite 208B
Stoneham, MA 02180-3623
Phone
(781) 418-1900
Fax
(781) 418-1919
NPI assigned
Apr 27, 2016
Organization subpart
No

Authorized official

Name
Andras Sandor, MD NPI 1548238843
Title
President
Phone
(781) 418-1900

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

91 Montvale Ave
Suite 208B
Stoneham, MA 02180-3623

Mailing address

91 Montvale Ave
Suite 208B
Stoneham, MA 02180-3623

Other providers in Stoneham, MA

All providers in Stoneham, MA · Surgery Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.