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Individual

MARK H JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2112 HARRISBURG PIKE, SUITE 202, LANCASTER, PA 17601-2644
(717) 544-3500
(717) 544-3501
Mailing address
2112 HARRISBURG PIKE STE 202, LANCASTER, PA 17601-2644
(717) 869-4600
(717) 544-3501

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD425522
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093677KKU
MEDICARE
PA
05
1012082120002
PA
05
1012082120004
PA
05
1012082120005
PA
01
P01832235
RR MEDICARE
PA
Enumeration date
11/15/2005
Last updated
06/13/2019
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