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Contact Information

MARYBETH ADAMS KHOURY, CPNP-PC
63 MAIN ST FL 3
BROCKTON, MA02301-4042
 Phone: 508-559-6699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARYBETH ADAMS KHOURY · (Female)

NPI # 1518436153
Status Active
Credentials CPNP-PC
Entity Individual
Enumeration date 11/13/2018
Last updated 11/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # RN231553
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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