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Individual

BRIAN GS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
49 ARDALE ST, ROSLINDALE, MA 02131-1505
(617) 835-7093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN280630
MA

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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