MEDICARE: ADVANCED WEIGHTS & METABOLIC HEALTH OPTIMIZATION, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086P0122X	Physician Nutrition Specialist (Surgery)
2	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1871468389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED WEIGHTS & METABOLIC HEALTH OPTIMIZATION, PLLC

Provider Business Mailing Address
First Line	:	20 ROCHE BROTHERS WAY STE 6
Second Line	:	#332
City	:	NORTH EASTON
State	:	MA
Zip	:	02356-1030
Country	:	US
Telephone Number	:	774-227-8482
Fax Number	:	510-369-3816

Provider Business Practice Location Address
First Line	:	294 PLEASANT ST STE 105
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-2571
Country	:	US
Telephone Number	:	774-227-8482
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HENRY LIN
Credential	:	MD
Telephone Number	:	774-227-8482

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	02/27/2026

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