Individual
MITZI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
(781) 849-2593
Mailing address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
(781) 849-2593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59642
MA
208D00000X
General Practice Physician
59642
MA
Other
Enumeration date
03/09/2007
Last updated
09/20/2024
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