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Individual

ANGEL MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
910 WASHINGTON STREET, SUITE 200, NEW YORK, MA 10028-7173
(408) 529-2965
Mailing address
910 WASHINGTON ST, DEDHAM, MA 02026-6022
(408) 529-2965

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
258657
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
258657
MA
207VG0400X
Gynecology Physician
Primary
258657
MA

Other

Enumeration date
08/25/2011
Last updated
01/29/2020
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