Individual
DR. ERIC WALTER JOHNSON
Active
Individual
DR. ERIC WALTER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
07D0995237
CT
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JOHNE2
NEW YORK CQ
NY
Enumeration date
03/29/2011
Last updated
02/26/2019
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