Individual
DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN/NP
Contact information
Practice address
1611 CAMBRIDGE ST, HARVARD VANGUARD MEDICAL ASSOCIATES, BH DEPT., CAMBRIDGE, MA 02138-4302
(617) 661-5500
Mailing address
1611 CAMBRIDGE ST, HARVARD VANGUARD MEDICAL ASSOCIATES, BH DEPT., CAMBRIDGE, MA 02138-4302
(617) 661-5500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2263400
MA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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