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Amanda C. Johnson, MD
Pediatric Critical Care Medicine Physician in Worcester, Massachusetts
NPI 1285995589

Amanda C. Johnson is a Pediatric Critical Care Medicine Physician based in Boston, MA and is specialized in Pediatric Critical Care Medicine. Amanda C. Johnson practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Amanda C. Johnson is 1285995589 and holds a License No. 262592 (Massachusetts).

The current practice location address for Amanda C. Johnson is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 774-442-2164 and via fax at 774-443-2062.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285995589
Provider Name
Amanda C. Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
774-442-2164
Fax Number
774-443-2062
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110099386A 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
774-442-2164
Fax Number
774-443-2062
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
774-442-2164
Fax Number
774-443-2062
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
262592 (Massachusetts)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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