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Blake Johnson
NPI 1164938288 · on the registry since 2017
Practice
- Address
- 55 Fruit St Grb-425
Boston, MA 02114 - Phone
- (617) 726-2800
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts