Individual
ANTHONY G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 ST PAUL DR STE 204, CHAMBERSBURG, PA 17201-1035
(717) 217-6886
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD447608
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD447608
PA
207RI0011X
Interventional Cardiology Physician
MD447608
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027845010001
—
PA
01
—
270264
MEDICARE
PA
Enumeration date
11/06/2006
Last updated
04/10/2024
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