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Individual
PETER B. JOHNSON
Active
Individual
PETER B. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53868
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028122
BMC HEALTHNET
—
01
—
004245
RIBCHIP
—
01
—
0402003
UHC
—
01
—
1189
FALLON
—
05
—
3084051
—
MA
01
—
6690
HPHC
—
01
—
702719
TUFTS
—
01
—
B10040001
CIGNA
—
01
—
J04227
MABC
MA
Enumeration date
07/26/2006
Last updated
07/08/2007
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