Individual
JEFFREY GRANT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S. CEDAR CREST BLVD, JAINDL 6TH FLOOR, ALLENTOWN, PA 18103
(610) 402-7712
Mailing address
33 WICKOM AVE, HAMILTON SQUARE, NJ 08690-1635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT231820
PA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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