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Individual

CLAY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8100 WESCOTT DR, FLEMINGTON, NJ 08822-4671
(908) 264-5993
Mailing address
19 RIVERHILL APT B, NEW HOPE, PA 18938-1262
(716) 307-1563

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00676700
NJ
363A00000X
Physician Assistant
MA061958
PA

Other

Enumeration date
10/23/2020
Last updated
03/31/2022
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