Search › Massachusetts › 222Q00000X
Johnathon Macneill
NPI 1518626951 · on the registry since 2021 · sole proprietor
Practice
- Address
- 628 Broadway Apt 2f
Malden, MA 02148 - Phone
- (857) 221-6282
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-13
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