Johnson, Mary E

Johnson, Mary E is an individual health care provider with primary practice located at 29 Crafts St Suite 400 Newton, Newton MA 02458-1393. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Johnson, Mary E can be contacted via phone (617) 964-7530.

Contact Information

Primary practice address
29 Crafts St Suite 400 Newton Newton MA 02458-1393
Phone: (617) 964-7530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 216904 Massachusetts

Profile Details

NPI number 1083600704
LBN Legal business name Johnson, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 2nd, 2015 - about 9 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 1083600704 NPPES
Massachusetts MEDICAID 2801636

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