Individual
MICHAEL P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 W RIVER ST STE 22B, PROVIDENCE, RI 02904-2628
(401) 521-7100
(401) 521-7102
Mailing address
148 W RIVER ST STE 22B, PROVIDENCE, RI 02904-2628
(401) 521-7100
(401) 521-7102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09266
RI
Other
Enumeration date
06/02/2006
Last updated
05/31/2022
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