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Individual
DR. PETER EDWARD JOHNSEN
Active
Individual
DR. PETER EDWARD JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03500400
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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