Individual
DR. TIFFANY K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST # 286, BOSTON, MA 02111-1552
(617) 636-5078
(617) 636-8391
Mailing address
PO BOX 958, SALEM, NH 03079-0958
(978) 476-6886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271983
MA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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