Individual
DR. GEORGE A MARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
769 WASHINGTON ST, STOUGHTON, MA 02072-2952
(781) 344-2311
Mailing address
769 WASHINGTON ST, STOUGHTON, MA 02072-2952
(781) 344-2311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16593
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436607
—
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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