Individual
JOHN G JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2200 WALLACE BLVD, SUITE E, CINNAMINSON, NJ 08077-2578
(856) 829-0015
(856) 829-0043
Mailing address
124 SWEDES RUN DR, DELRAN, NJ 08075-2116
(856) 829-0015
(856) 829-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
04/19/2007
Last updated
07/11/2007
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