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Individual

DR. JOHN ANDREW JOHNSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 362-0099
(508) 362-8811
Mailing address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 362-0099

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
266075
MA
207R00000X
Internal Medicine Physician
255876
MA

Other

Enumeration date
06/27/2013
Last updated
08/03/2020
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