Individual
BRENDA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
955 MAIN ST, SUITE 304, WINCHESTER, MA 01890-1961
(781) 729-5651
(781) 729-8523
Mailing address
955 MAIN ST, SUITE 304, WINCHESTER, MA 01890-1961
(781) 729-5651
(781) 729-8523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80366
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3185117
—
MA
Enumeration date
06/05/2006
Last updated
11/05/2010
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