| Eric E Johnson Md Pc | |
|
45 Resnik Rd Suite 202 Plymouth MA 02360 | |
| (508) 746-0754 | |
| (508) 747-7867 |
| Full Name | Eric E Johnson Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Resnik Rd, Plymouth, Massachusetts |
| Authorized Official Name and Position | Eric E Johnson (PRESIDENT) |
| Authorized Official Contact | 5087460754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric E Johnson Md Pc 45 Resnik Rd Suite 202 Plymouth MA 02360 Ph: (508) 746-0754 | Eric E Johnson Md Pc 45 Resnik Rd Suite 202 Plymouth MA 02360 Ph: (508) 746-0754 |
| NPI Number | 1821192535 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 06/28/2013 |
| Medicare PECOS PAC ID | 7416949961 |
|---|---|
| Medicare Enrollment ID | O20170925001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821192535 | NPI | - | NPPES |
| 6290 | Other | HPHC | |
| M14365 | Other | BCBJ | |
| 9749578 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184610958 PECOS PAC ID: 4880503192 Enrollment ID: I20050926000261 |
| Provider Name | Sarah E Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942927546 PECOS PAC ID: 6800266644 Enrollment ID: I20230112000366 |
| Provider Name | Laurel E Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841982121 PECOS PAC ID: 8628423837 Enrollment ID: I20231009000557 |
| Provider Name | Philip Locicero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255097036 PECOS PAC ID: 7810335502 Enrollment ID: I20240401000483 |
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