Individual
PETER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 267-0900
Mailing address
124 OCEAN AVE APT 307, SALEM, MA 01970-2990
(508) 317-1944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2354716
MA
363L00000X
Nurse Practitioner
Primary
RN2354716
MA
Other
Enumeration date
02/15/2024
Last updated
07/27/2026
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