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DR. CHRISTOPHER LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 W 48TH ST, STE 300, NEW YORK, NY 10036-1818
(877) 866-7123
Mailing address
BOX 175, 302A WEST 12TH STREET, NEW YORK, NY 10014
(212) 206-6996
(212) 636-4992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
229970
NY
208200000X
Plastic Surgery Physician
Primary
229970
NY
208200000X
Plastic Surgery Physician
G77562
CA
2086S0127X
Trauma Surgery Physician
G77562
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
229970
NEW YORK MEDICAL BOARD
NY
01
G77562
CALIFORNIA MEDICAL BOARD NUMBER
CA
Enumeration date
03/09/2009
Last updated
09/05/2019
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