Individual
ERIC E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 RESNIK RD, SUITE 202, PLYMOUTH, MA 02360-4844
(508) 746-0754
(508) 747-7867
Mailing address
45 RESNIK RD, SUITE 202, PLYMOUTH, MA 02360-4844
(508) 746-0754
(508) 747-7867
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
44560
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117455
—
MA
01
—
C20257
BCBS
MA
Enumeration date
09/27/2005
Last updated
06/06/2012
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