Individual
ANTOINETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 S 16TH ST, NEWARK, NJ 07108-1120
(973) 341-4529
Mailing address
685 DR MLK JR BLVD, APT 520, NEWARK, NJ 07102
(973) 341-4529
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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