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Individual

DENNIS E JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 MONUMENT RD STE 295, YORK, PA 17403-5049
(717) 812-7676
(717) 461-7155
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-7676
(717) 812-5176

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD055443L
PA
2086X0206X
Surgical Oncology Physician
Primary
MD055443L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016189420006
PA
01
052992
HIGHMARK BLUE SHIELD
PA
01
30158377
AMERIHEALTH CARITAS - WMG
PA
01
420530
UPMC
PA
Enumeration date
07/01/2005
Last updated
05/11/2021
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