Individual
DR. GEORGE A. JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 MOUNT PLEASANT AVE STE 250, WEST ORANGE, NJ 07052-2751
(973) 323-1320
(973) 323-1320
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA0361000
NJ
208800000X
Urology Physician
Primary
25MA03619000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA03619000
LICENSE#
NJ
05
—
3662608
—
NJ
Enumeration date
09/20/2006
Last updated
03/09/2022
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