Individual
MATTHEW T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 RIVERSIDE ST STE 201, LAHEY UROLOGY AT NASHUA, NASHUA, NH 03062-1383
(603) 594-0800
Mailing address
17 RIVERSIDE ST STE 201, LAHEY UROLOGY AT NASHUA, NASHUA, NH 03062-1383
(603) 594-0800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125055475
IL
208800000X
Urology Physician
Primary
16113
NH
Other
Enumeration date
09/03/2008
Last updated
07/01/2013
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