Organization
FREDERICK M JOHNSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK M JOHNSON MD (OWNER)
(401) 331-1113
Entity
Organization
Contact information
Practice address
1524 ATWOOD AVE, SUITE 125, JOHNSTON, RI 02919
(401) 331-1113
(401) 331-1153
Mailing address
PO BOX 19427, JOHNSTON, RI 02919
(401) 331-1113
(401) 331-1153
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4421
RI
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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