Individual
MR. HARRY W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1734
(667) 214-1300
(410) 328-3379
Mailing address
PO BOX 64551, BALTIMORE, MD 21264-4551
(667) 214-1302
(410) 328-3379
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0038053
MD
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
D38053
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346311700
—
MD
Enumeration date
07/06/2006
Last updated
02/03/2016
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