Individual
JACOB H. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-251796
MA
207RI0200X
Infectious Disease Physician
Primary
262315
MA
Other
Enumeration date
06/19/2012
Last updated
08/06/2018
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