Organization
PAUL R JOHNSON MDFACSPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R JOHNSON M.D. (OWNER)
(410) 778-0088
Entity
Organization
Contact information
Practice address
400 S CROSS ST, SUITE 1, CHESTERTOWN, MD 21620-4752
(410) 778-0088
(410) 778-9592
Mailing address
PO BOX 1079, CHESTERTOWN, MD 21620-5079
(410) 778-0088
(410) 778-9592
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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