# NATALIE JOHNSON, MD., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114273547
- **Authorized official:** DR. NATALIE ALVES JOHNSON PHYSICIAN (MD, PC)
- **Authorized official phone:** (973) 243-0290

## Contact information

- **Practice address:** 470 PROSPECT AVE, SUITE 200, WEST ORANGE, NJ 07052-4153
- **Practice address phone:** (973) 243-0290
- **Mailing address:** 470 PROSPECT AVE, SUITE 200, WEST ORANGE, NJ 07052-4153
- **Mailing address phone:** (973) 243-0290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA06341400 | NJ | Yes |

## Other

- **Enumeration date:** 08/03/2012
- **Last updated:** 08/03/2012