Individual
DR. MATTHEW J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511-6662
(203) 785-2095
Mailing address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511-6662
(203) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB12211600
NJ
2084P0800X
Psychiatry Physician
75880
CT
Other
Enumeration date
04/02/2020
Last updated
08/06/2024
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