Individual
CHRISTY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1178
(215) 762-2618
Mailing address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 988-0000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB11207000
NJ
207P00000X
Emergency Medicine Physician
OS021255
PA
207P00000X
Emergency Medicine Physician
OT018782
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0818071
—
NJ
Enumeration date
06/25/2018
Last updated
01/14/2025
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