Individual
SKYLER BRYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-2100
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
55602
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
06/19/2014
Last updated
10/25/2021
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