Individual
JUDITH G KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 565-0157
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
172092
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078451A
—
MA
05
—
3154017
—
MA
Enumeration date
12/07/2005
Last updated
05/08/2026
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