Individual
MARY PARKER JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4930
TN
363A00000X
Physician Assistant
Primary
PA9335
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073493
—
TN
Enumeration date
04/05/2022
Last updated
05/05/2023
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