Individual
DR. DOUGLAS C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 MAIN ST, 2ND FL, STE A, SPRINGFIELD, MA 01107-1112
(413) 794-7330
(413) 794-8163
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
43956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173452
—
MA
01
—
711816
TUFTS HEALTH PLAN
MA
01
—
E05735
BCBS MA
MA
Enumeration date
11/16/2005
Last updated
12/22/2017
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