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Individual

DR. SUZANNE CAROL JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9 HOPE AVENUE, CHILDREN'S HOSPITAL AT WALTHAM / DEPT. OPHTHALMOLOGY, WALTHAM, MA 02453
(617) 355-6401
Mailing address
9 HOPE AVENUE, CHILDREN'S HOSPITAL AT WALTHAM / DEPT. OPHTHALMOLOGY, WALTHAM, MA 02453
(617) 955-6401

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0116015550
VA
207W00000X
Ophthalmology Physician
Primary
2007-00463
NC
207W00000X
Ophthalmology Physician
237031
MA

Other

Enumeration date
04/03/2007
Last updated
01/06/2009
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