Individual
TIMOTHY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
271 CAREW STREET, SPRINGFIELD, MA 01104
(413) 748-7370
(413) 748-7221
Mailing address
271 CAREW STREET, SPRINGFIELD, MA 01104
(413) 748-7370
(413) 748-7221
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
220236
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062330
—
MA
Enumeration date
11/23/2005
Last updated
04/10/2014
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