Individual
JULIA VIRGINIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF OB/GYN, WORCESTER, MA 01605-2903
(508) 334-5369
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
238853
MA
207VE0102X
Reproductive Endocrinology Physician
042-0008140
VT
207VE0102X
Reproductive Endocrinology Physician
238853
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009675
—
VT
05
—
01191982
—
NY
05
—
110081628A
—
MA
Enumeration date
08/16/2006
Last updated
07/21/2020
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