Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-4718
Mailing address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-4718
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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