Individual
LEON MCTYEIRE JOHNSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
217 N BIGELOW RD, HAMPTON, CT 06247-1439
(860) 455-9958
Mailing address
217 N BIGELOW RD, HAMPTON, CT 06247-1439
(860) 455-9958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD05710
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077221
—
MA
05
—
7008147
—
RI
Enumeration date
06/27/2005
Last updated
02/23/2012
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