Individual
MRS. MARILYN GAYE COMERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 BRIARWOOD RD, HOLBROOK, MA 02343-1102
(781) 767-0222
Mailing address
14 BRIARWOOD RD, HOLBROOK, MA 02343-1102
(781) 767-0222
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
133404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312002
PROVIDER NUMBER
MA
Enumeration date
04/03/2007
Last updated
07/08/2007
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