Provider Demographics
NPI:1164469763
Name:JOHNSTON, KATHERINE T (MD, MA, MSC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:T
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MD, MA, MSC
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Other - First Name:
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Mailing Address - Street 1:158 STONE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3174
Mailing Address - Country:US
Mailing Address - Phone:617-667-9600
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER E/SHAPIRO 1 ATRIUM
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA226586207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine