Individual
MARYBETH SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BULFINCH 127, BOSTON, MA 02114-2621
(617) 726-3772
Mailing address
55 FRUIT ST, BULFINCH 127, BOSTON, MA 02114-2621
(617) 726-3772
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
186882
MA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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