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General NPI Number Information
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NPI Number | 1922090430
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Entity Type | Individual
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Provider Name | THOMAS F JOHNSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 555 TURNPIKE ST
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5923
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Country | US
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Telephone | 978-683-4299
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Fax | 978-688-9603
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Provider Business Mailing Address
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Address Line | 555 TURNPIKE ST STE 31
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5923
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Country | US
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Telephone | 978-683-4299
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Fax | 978-688-9603
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 36670
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License Number State | MA
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