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Individual

DR. WILLIAM G. JOHNSTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 MAIN ST, HYANNIS, MA 02601-3127
(508) 771-9550
(508) 790-9304
Mailing address
110 MAIN ST, HYANNIS, MA 02601-3127
(508) 771-9550
(508) 790-9304

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38955
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000029926
BMC HEALTHNET
MA
05
2045133
MA
01
2077564001
CIGNA
MA
01
27036
HARVARD PILGRIM HEALTH
MA
01
340000696
RAILROAD MEDICARE
MA
01
757982
TUFTS HEALTH PLAN
MA
01
L15100
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/22/2005
Last updated
11/02/2010
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