Individual provider · Type 1 NPI

Ervin Leroy Johnson Iii, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1649536814 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-8241 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649536814

Ervin Leroy Johnson Iii, PhD's National Provider Identifier is 1649536814, issued on Apr 2, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Apr 2, 2012.