Individual
MS. PEGGY LYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 WINTER ST, SUITE 802, BOSTON, MA 02108-4720
(617) 426-0600
Mailing address
1245 ADAMS ST # B303, DORCHESTER, MA 02124-5799
(617) 905-1273
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
59013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1221905
—
MA
Enumeration date
04/05/2006
Last updated
07/02/2014
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