Individual
DR. NATALIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
470 PROSPECT AVE, SUITE 200, WEST ORANGE, NJ 07052-4153
(973) 243-0290
(973) 243-1863
Mailing address
470 PROSPECT AVE, SUITE 200, WEST ORANGE, NJ 07052-4153
(973) 243-0290
(973) 243-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA063441400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172017
AETNA USHC
NJ
01
—
2K0740
HEALTH NET
NJ
05
—
6817408
—
NJ
Enumeration date
08/20/2006
Last updated
07/08/2007
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