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Individual

MS. CHRISTINA NICOLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901
(908) 522-2000
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10115200
NJ

Other

Enumeration date
04/15/2014
Last updated
05/17/2018
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