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Individual

DR. RICHARD A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 STANIFORD ST, 2ND FL S50 200, BOSTON, MA 02114
(617) 726-2914
(617) 724-2135
Mailing address
PO BOX 9142, CHARLSTOWN, MA 02129-9142
(617) 726-2914
(617) 726-7768

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33609
MA
207R00000X
Internal Medicine Physician
33609
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
033609
TUFTS HEALTH PLAN
MA
05
2025884
MA
01
B51032
BCBS MA
MA
Enumeration date
02/13/2006
Last updated
11/05/2012
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