Individual
MRS. MARIANNE RUSKAY GLASSANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
179 QUINCY ST, BROCKTON, MA 02302-2959
(508) 427-7700
(508) 427-7755
Mailing address
8 POPES LN, HINGHAM, MA 02043-2902
(781) 740-1403
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
127115
MA
Other
Enumeration date
01/23/2006
Last updated
04/01/2011
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