Individual
DR. MICHELLE JEAN JACQUES JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 TREMONT ST, ROXBURY CROSSING, MA 02120-2178
(617) 427-1000
(617) 989-3006
Mailing address
489 POPLAR ST, ROSLINDALE, MA 02131-4934
(617) 325-6550
(617) 325-6550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153786
MA
Other
Enumeration date
03/29/2006
Last updated
07/09/2007
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