Individual
MATTHEW T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125055475
IL
208800000X
Urology Physician
Primary
16113
NH
Other
Enumeration date
09/03/2008
Last updated
07/01/2013
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