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Individual

DR. GREGORY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 RECOVERY RD, WAREHAM, MA 02571-5011
(508) 295-5100
(508) 295-9467
Mailing address
1 RECOVERY RD, WAREHAM, MA 02571-5011
(508) 295-5100
(508) 295-9467

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40750
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023729
BOSTON MEDICAL CENTER HEA
MA
01
0018476
NEIGHBORHOOD HEALTH PLAN
MA
01
0563550
AETNA/US HEALTHCARE
MA
01
09-00266
UNITEDHEALTHCARE
MA
01
17022
HARVARD PILGRIM HEALTHCAR
MA
05
2056283
MA
01
28592
CHILDRENS MEDICAL SECURIT
MA
01
766401
TUFTS HEALTH PLAN
MA
01
B20436401
CIGNA
MA
01
B33524
BCBS OF MASSACHUSETTS
MA
Enumeration date
01/20/2006
Last updated
07/08/2007
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