Individual
EVELYNN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
769 NORTHFIELD AVE, SUITE 200, WEST ORANGE, NJ 07052-1198
(973) 736-2212
(973) 736-2989
Mailing address
769 NORTHFIELD AVE, SUITE 200, WEST ORANGE, NJ 07052-1198
(973) 736-2212
(973) 736-2989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NN08286800
NJ
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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