Individual
JEHANE C JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 493-3570
(781) 326-0221
Mailing address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 493-3570
(781) 326-0221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150831
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110159467
RAILROAD/MEDICARE
—
01
—
150831
TUFTS COMMONWEALTH PPO
—
01
—
27544
CHILDREN'S MEDICAL SEC.
—
01
—
3162176
MASS HEALTH
—
05
—
3162176
—
MA
01
—
5439345
HEALTHSOURCE
MA
01
—
5439345
CIGNA HEALTH CARE
—
01
—
66587
HARVARD/PILGRIM
—
01
—
A21550
MEDICARE
—
01
—
G32493
FIRST SENIORITY
—
01
—
J16673
BS-BLUE CARE ELECT
—
01
—
J16873
BCBS
MA
01
—
J16873
BLUE SHIELD-INDEMNITY
—
Enumeration date
07/01/2005
Last updated
02/18/2021
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