Provider Demographics
NPI:1275195620
Name:OREJO, JOHANNA MARIE SEDICOS (MD)
Entity type:Individual
Prefix:DR
First Name:JOHANNA MARIE
Middle Name:SEDICOS
Last Name:OREJO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:47 OBERY ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2230
Mailing Address - Country:US
Mailing Address - Phone:508-747-4883
Mailing Address - Fax:508-747-6661
Practice Address - Street 1:47 OBERY ST STE 1A
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2230
Practice Address - Country:US
Practice Address - Phone:508-747-4883
Practice Address - Fax:508-747-6661
Is Sole Proprietor?:No
Enumeration Date:2019-07-06
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1019119207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology