FREDERICK M JOHNSON MD INC
Medical Practice at Atwood Ave, Providence, RI

License number
Rhode Island 4421
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: FREDERICK M JOHNSON MD
Title: OWNER
Phone: (401) 331-1113
Address
Address
1524 Atwood Ave SUITE 125, Providence, RI 02919
National Provider ID: 1215100680
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FREDERICK M. JOHNSON, M.D., INC

1524 Atwood Ave, Johnston, RI 02919

Industry:
MEDICAL SERVICES
Registration:
Oct 14, 1980
State ID:
000024907
Business type:
Professional Service Corporation
SECRETARY:
Frederick M Johnson (SECRETARY), 31 Elmhurst Ave, Providence, RI 02908 (Physical)
Agent:
Md Frederick M. Johnson,31 Elmhurst Ave, Providence, RI 02908 (Physical)

Frederick M Johnson MD Inc

31 Elmhurst Ave, Providence, RI 02908

Status:
Inactive
Industry:
Medical Doctor's Office
Owner, President:
Frederick M. Johnson Owner, President, inactive

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