Individual
MR. RANDY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 WHITNEY AVENUE, SUITE 360, HAMDEN, CT 06518-3694
(203) 281-4463
(203) 287-2930
Mailing address
2200 WHITNEY AVENUE, SUITE 360, HAMDEN, CT 06518-3694
(203) 281-4463
(203) 287-2930
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002078
CT
Other
Enumeration date
04/15/2008
Last updated
05/27/2021
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