Individual
MS. BETH A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVENUE ML 7009, CINCINNATI, OH 45229-3026
(513) 636-4830
(513) 636-7868
Mailing address
3333 BURNET AVENUE ML 7009, CINCINNATI, OH 45229-3026
(513) 636-4830
(513) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.093910
OH
2080P0202X
Pediatric Cardiology Physician
35.093910
OH
2080P0202X
Pediatric Cardiology Physician
44076
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2978765
—
OH
05
—
34176400
—
WI
Enumeration date
07/27/2006
Last updated
12/17/2015
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