Individual
CORY PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
680 CENTRE ST, BROCKTON, BROCKTON, MA 02302-3308
(508) 941-7400
Mailing address
680 CENTRE ST, BROCKTON, BROCKTON, MA 02302-3308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6087
MA
Other
Enumeration date
07/22/2016
Last updated
04/06/2017
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