Individual
OREN WAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-0000
Mailing address
1350 MAIN ST STE 1007, SPRINGFIELD, MA 01103-1664
(908) 400-0120
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
262589
MA
2085P0229X
Pediatric Radiology Physician
D0101839
MD
2085R0202X
Diagnostic Radiology Physician
D0101839
MD
Other
Enumeration date
06/05/2012
Last updated
04/22/2025
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