Individual
DR. ADAM LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST # 7-748, BOSTON, MA 02114-2696
(617) 643-0596
Mailing address
125 NASHUA ST STE 260, BOSTON, MA 02114-1109
(617) 724-4133
(617) 724-3947
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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