Individual
ELIZABETH H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 BUCKNAM ROAD, SUITE 2B, FALMOUTH, ME 04105
(207) 781-1600
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
78538
MA
207R00000X
Internal Medicine Physician
Primary
MD13514
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434871199
—
ME
Enumeration date
08/22/2006
Last updated
04/14/2021
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