Individual
MARYBETH ADAMS-KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
63 MAIN ST FL 3, BROCKTON, MA 02301-4042
(508) 559-6699
Mailing address
82 CYPRESS DR, BROCKTON, MA 02301-2970
(508) 587-9081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN231553
MA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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