Khoury, Marianne

Khoury, Marianne is an individual health care provider with primary practice located at 485 Arsenal St , Watertown MA 02472-5091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khoury, Marianne can be contacted via phone (617) 972-5570.

Contact Information

Primary practice address
485 Arsenal St Watertown MA 02472-5091
Phone: (617) 972-5570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 161256 Massachusetts

Profile Details

NPI number 1255319430
LBN Legal business name Khoury, Marianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255319430 NPPES
Massachusetts Other 0025243 NEIGHBORHOOD HEALTH
Massachusetts Other J24349 NEIGHBORHOOD HEALTH
Massachusetts Other HV0128 NEIGHBORHOOD HEALTH
Massachusetts Other 161256 NEIGHBORHOOD HEALTH
Massachusetts MEDICAID 0158011 NEIGHBORHOOD HEALTH

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