Individual
DR. BLAIR R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5348
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
156389
MA
208M00000X
Hospitalist Physician
156389
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060975A
—
MA
05
—
3191877
—
MA
Enumeration date
09/22/2006
Last updated
12/30/2011
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