Organization
SOUTHBRIDGE OB GYN ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN JOHNSON MD (PHYSICIAN)
(508) 765-5981
Entity
Organization
Contact information
Practice address
100 SOUTH ST, STE G05, SOUTHBRIDGE, MA 01550
(508) 765-5981
Mailing address
100 SOUTH ST, STE G05, SOUTHBRIDGE, MA 01550
(508) 765-5981
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9763236
—
MA
Enumeration date
12/19/2006
Last updated
08/22/2020
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