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Individual

DR. TIMOTHY DAVID JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8880
(908) 277-8796
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8880
(908) 277-8796

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA09176700
NJ
207R00000X
Internal Medicine Physician
256137
NY

Other

Enumeration date
12/10/2010
Last updated
04/11/2019
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