Johnson, Mark D

Johnson, Mark D is an individual health care provider with primary practice located at 255 Plain Drive Massachusetts Anesthesia Corp., Stoughton MA 02072-0372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Mark D can be contacted via phone (781) 341-3966.

Contact Information

Primary practice address
255 Plain Drive Massachusetts Anesthesia Corp. Stoughton MA 02072-0372
Phone: (781) 341-3966
Fax: (781) 341-8269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48521 Massachusetts

Profile Details

NPI number 1770518581
LBN Legal business name Johnson, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 22nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770518581 NPPES
Other 050092266 RAILROAD MEDICARE
MEDICAID 6171433 RAILROAD MEDICARE

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