Individual provider · Type 1 NPI
Blake Allan Johnson
Surgery Physician · Boston, MA
Practice location
55 Fruit St GRB-425
Boston, MA 02114-2696
Mailing address
55 Fruit St Grb 425
Boston, MA 02114-2696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | 3016538 (MA) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
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About NPI 1164938288
Blake Allan Johnson's National Provider Identifier is 1164938288, issued on Dec 27, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Boston, MA. The record was last updated on Jun 6, 2024.