Individual
DR. JOHANNE ELIZABETH DILLON
Active
Individual
DR. JOHANNE ELIZABETH DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
44811
KY
2085R0202X
Diagnostic Radiology Physician
44811
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101980
—
MA
01
—
468286
TUFTS HEALTH PLAN
MA
01
—
J28601
BCBS MA
MA
Enumeration date
11/16/2005
Last updated
05/01/2012
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