Blake Allan Johnson
Blake Allan Johnson is a Surgery Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.
- Licensed in
- MA
- In the registry since
- 2017
Practice location Address checks out
55 Fruit St GRB-425Boston, MA 02114-2696
Phone: (617) 726-2800
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 3016538 (MA) |
|---|
Record details
| NPI number | 1164938288 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 27, 2017 |
| Last updated in NPPES | June 6, 2024 |
| Certification date | June 6, 2024 |
| Mailing address | 55 Fruit St Grb 425, Boston, MA 02114-2696 |
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