Individual
AMANDA LEANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1019447
MA
207L00000X
Anesthesiology Physician
67772
MN
207R00000X
Internal Medicine Physician
30347
MN
Other
Enumeration date
04/15/2019
Last updated
08/07/2024
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