Individual
DR. DWIGHT C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
419 N. FRANKLIN STREET, SUITE 3, WEST CHESTER, PA 19380-4435
(610) 344-7703
(610) 344-7797
Mailing address
419 N. FRANKLIN STREET, SUITE 3, WEST CHESTER, PA 19380-4435
(610) 344-7703
(610) 344-7797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007597L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2346974001
KEYSTONE
PA
01
—
85992
AETNA
PA
01
—
868042YHGL
MEMBER PROVIDER IDENTIFICATION NUMBER
PA
Enumeration date
02/08/2006
Last updated
01/09/2014
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