Individual
DR. JOHN J WORTHINGTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 815, BOSTON, MA 02114-3117
(617) 724-0855
(617) 726-7541
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0855
(617) 643-0730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
78113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120546
—
MA
01
—
737688
TUFTS HEALTH PLAN
MA
01
—
J30210
BCBS MA
MA
Enumeration date
03/10/2006
Last updated
12/19/2012
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