Search › Massachusetts › 172V00000X
Mario Johnson
NPI 1487178828 · on the registry since 2017
Practice
- Address
- 340 Main St # 818
Worcester, MA 01608 - Phone
- (508) 791-4976
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 101YM0800X
- Sex
- Male
- Record last updated
- 2020-10-02
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