Individual
MARK WILLIAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138
(617) 492-3500
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5597
(617) 492-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
276370
MA
2085R0202X
Diagnostic Radiology Physician
33075
NH
Other
Enumeration date
05/01/2018
Last updated
06/21/2024
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