Individual
PATRICIA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 BRAMBLE ST, SUITE 3, CAMBRIDGE, MD 21613-2408
(410) 901-2000
Mailing address
100 BRAMBLE ST, SUITE 3, CAMBRIDGE, MD 21613-2408
(410) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0059973
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402327700
—
MD
Enumeration date
08/23/2006
Last updated
01/22/2013
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