person
Dr. Adam Lee Johnson, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1104314228

Adam Lee Johnson is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Adam Lee Johnson practices in Boston, MA and has the professional credentials of MD. The NPI Number for Adam Lee Johnson is 1104314228 and holds a License No. (Massachusetts).

The current practice location address for Adam Lee Johnson is 55 Fruit St # 7-748, Boston, MA and can be reached out via phone at 617-643-0596.

Location: 55 Fruit St # 7-748, Boston, MA, 02114-1109
person
Provider Profile Details
NPI Number
1104314228
Provider Name
Adam Lee Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St # 7-748, Boston, MA, 02114-1109
Phone Number
617-643-0596
Fax Number
Provider Enumeration Date
04/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St # 7-748
City
State
Zip
02114-2696
Phone Number
617-643-0596
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St # 7-748
City
State
Zip
02114-2696
Phone Number
617-643-0596
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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