Individual
MAXWELL E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 HIGH ST, PLYMOUTH, NEW HAMPSHIRE, PLYMOUTH, NH 03264
(603) 535-5000
Mailing address
145 BROOKDALE BLVD, PAWTUCKET, RI 02861-2721
(401) 359-0513
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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