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Individual

KRISTINA HOPE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
85 SEYMOUR ST, STE 425, HARTFORD, CT 06106-5501
(860) 548-7336
(860) 524-2651
Mailing address
85 SEYMOUR ST, STE 425, HARTFORD, CT 06106-5501
(860) 548-7336
(860) 524-2651

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
038758
CT
208C00000X
Colon & Rectal Surgery Physician
Primary
038758
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010038758CT01
ANTHEM BCBS
CT
05
0121525
MA
01
038758
CONNECTICARE
CT
01
0V6664
HEALTH NET
CT
01
2323679
AETNA
CT
01
26208
HEALTH NEW ENGLAND
CT
01
3147288 001
CIGNA
CT
01
P2468775
OXFORD
CT
Enumeration date
08/24/2005
Last updated
07/12/2007
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