Individual
BRUCE EVAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-4790
(617) 632-5786
Mailing address
450 BROOKLINE AVE, D1234 DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-4790
(617) 632-5786
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
158661
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158661
TUFTS
—
01
—
2172993
AETNA US HEALTHCARE
—
01
—
3000439
UNITED HEALTH CARE
—
01
—
3185516
MASSHEALTH MA MEDICAID
—
01
—
45879
FALLON COMMUNITY HEALTH P
—
01
—
5876473
CIGNA
—
01
—
68815DF
HPHC DFCI ONLY
—
01
—
J19701
BCBS INDEMITY BC ELECT HM
MA
Enumeration date
03/23/2006
Last updated
12/07/2011
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