Individual
DR. COLIN MICHAEL JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 S ORANGE AVE BLDG G595, NEWARK, NJ 07103-2757
(973) 972-5018
(973) 972-6591
Mailing address
17 LACKAWANNA PL APT 405, BLOOMFIELD, NJ 07003-2955
(347) 351-4035
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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