Individual
DREW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 CHESTNUT STREET, MEZZANINE, PHILADELPHIA, PA 19107
(215) 955-5050
(215) 955-2179
Mailing address
925 CHESTNUT STREET, MEZZANINE, PHILADELPHIA, PA 19107
(215) 955-5050
(215) 955-2179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD465709
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD465709
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2015
Last updated
05/19/2022
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