Individual
ERICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE # LO-367, BOSTON, MA 02115-5724
(617) 355-3795
Mailing address
112 CHESTNUT ST, UPTON, MA 01568-1418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5643
MA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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