Organization
FLETCHER J JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE H JOHNSON (OFFICE MANAGER)
(845) 639-1576
Entity
Organization
Contact information
Practice address
10 ESQUIRE ROAD, SUITE 19, NEW CITY, NY 10956
(845) 639-1576
Mailing address
10 ESQUIRE ROAD, SUITE 19, NEW CITY, NY 10956
(845) 639-1576
(845) 639-0963
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
104540
NY
208600000X
Surgery Physician
MA 23275
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554334
—
NY
Enumeration date
08/14/2006
Last updated
04/06/2008
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