Individual
MR. RICHARD CHRISTOPHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5924
(781) 861-0899
Mailing address
730 EASTERN AVE, MALDEN, MA 02148-5924
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
02JNR87131
NH
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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