Individual
DR. THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 847-9320
Mailing address
PO BOX 630, FRANKLIN LAKES, NJ 07417-0630
(201) 847-9320
(201) 847-0059
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB11982800
NJ
207L00000X
Anesthesiology Physician
283799
NY
Other
Enumeration date
04/11/2012
Last updated
09/06/2023
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