Individual
COLLEEN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
50 STANIFORD ST, BOSTON, MA 02114-2517
(617) 726-4400
(617) 724-6565
Mailing address
50 STANIFORD ST STE 430, BOSTON, MA 02114-2541
(617) 726-4400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MA
Other
Enumeration date
09/23/2019
Last updated
01/01/2020
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