Individual
AMY AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
257252
MA
Other
Enumeration date
07/06/2009
Last updated
01/23/2014
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