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Organization

MICHAEL P. JOHNSON, MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLA M. MARTIN MD (OFFICE MANAGER)
(401) 521-7100
Entity
Organization

Contact information

Practice address
148 W RIVER ST STE 22B, PROVIDENCE, RI 02904
(401) 521-7100
(401) 521-7102
Mailing address
148 W RIVER ST STE 22B, PROVIDENCE, RI 02904-2628
(401) 521-7100
(401) 521-7102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09266
RI

Other

Enumeration date
04/06/2018
Last updated
04/29/2022
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