Michelle Rullan Johnson
Geriatric Medicine
119 Windsor St
Cambridge
, Massachusetts 02139-3647
Michelle Rullan Johnson
Geriatric Medicine
119 Windsor St
Cambridge
, Massachusetts 02139-3647
(617) 394-7703
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Michelle Rullan Johnson
- 10 Beacon St
- Somerville, MA
- Zip : 02143-4311
- Phone : (617) 394-7703
Second Address
- Michelle Rullan Johnson
- 119 Windsor St
- Cambridge, MA
- Zip : 02139-3647
- Phone : (617) 665-3600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 265139 | MA |
National Provider Identifier
| NPI | 1114285905 |
|---|---|
| Provider Name | Michelle Rullan Johnson |
| First Address | Somerville, MA 02143-4311 |
| Second Address | Cambridge, MA 02139-3647 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2012 |
| Last Update Date | 12/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.