Individual
BRETT E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(508) 421-1400
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
290959
MA
207P00000X
Emergency Medicine Physician
Primary
MD27700
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110152777A
—
MA
Enumeration date
03/20/2019
Last updated
07/01/2024
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