Doctor Name: | MARYBETH MARCOTTE |
NPI Number: | 1275506669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC |
License Number: | 132625 |
Business Practice Address: | 20 Research Pl Suite 300 N Chelmsford, MA - 018632454 |
Business Phone Number: | 9782561858 |
Business Fax Number: | 9787887896 |
Mailing Address: | 20 Research Pl, Suite 300 N CHELMSFORD |
State: | MA |
Postal Code: | 018632454 |
Phone Number: | 9782561858 |
Fax Number: | 9787887896 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 132625 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |