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1942763115
IAN GERARD JOHNSON
JAMAICA PLAIN, MA
NPI
1942763115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: MA 1015490)
Enumeration Date
2019-04-12
Last Update Date
2024-07-08
Business Address
IAN GERARD JOHNSON MD
1153 CENTRE ST
JAMAICA PLAIN, MA 02130-3446
Phone number: 617-983-7474
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Mailing Address
IAN GERARD JOHNSON MD
1153 CENTRE ST
JAMAICA PLAIN, MA 02130-3446
Phone number:
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