Search › Massachusetts › 164W00000X
Johnson Bonsrah
NPI 1578399978 · on the registry since 2024 · sole proprietor
Practice
- Address
- 39 Tyson Rd # 1
Worcester, MA 01606 - Phone
- (774) 267-1244
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-11
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