Individual
MARK D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 PLAIN DRIVE, MASSACHUSETTS ANESTHESIA CORP., STOUGHTON, MA 02072-0372
(781) 341-3966
(781) 341-8269
Mailing address
PO BOX 372, MASSACHUSETTS ANESTHESIA CORP., STOUGHTON, MA 02072-0372
(781) 341-3966
(781) 341-8269
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050092266
RAILROAD MEDICARE
—
05
—
6171433
—
MA
Enumeration date
07/11/2006
Last updated
09/22/2014
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