Individual
AMANDA KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-1011
(302) 733-4200
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0013171
DE
208000000X
Pediatrics Physician
MT210838
PA
Other
Enumeration date
06/07/2016
Last updated
06/19/2019
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