Organization
KIRK H. JOHNSON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK H. JOHNSON M.D. (PRESIDENT)
(508) 752-1304
Entity
Organization
Contact information
Practice address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 752-1304
Mailing address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 752-1304
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47281
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162388
—
MA
Enumeration date
08/19/2006
Last updated
08/22/2020
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