Individual
MR. MATTHEW C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
321298
NY
Other
Enumeration date
09/24/2012
Last updated
10/04/2023
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