Individual
DR. ERIC WALTER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
203 LITCHFIELD ROAD, NORFOLK, CT 06058
(860) 689-5814
Mailing address
203 LITCHFIELD ROAD, P.O. BOX 1, NORFOLK, CT 06058
(860) 689-5814
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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