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Individual

DR. MARY JOHANNA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
185 HARRY S TRUMAN PKWY STE 120, ANNAPOLIS, MD 21401-7580
(410) 224-4442
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D35702
MD
207VM0101X
Maternal & Fetal Medicine Physician
MD435925
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019135
JOHNS HOPKINS
PA
05
102246423
PA
01
123846
GEISINGER HEALTH PLAN
PA
01
1578891
GATEWAY-WMG
PA
01
20086849
AMERIHEALTH MERCY - WMG
PA
01
20087483
AMERIHEALTH MERCY-WMG
PA
01
20091825
AMERIHEALTH MERCY-YH
PA
05
211641300
MD
05
211641301
MD
01
261018
UNISON-WMG
PA
01
280835
UNISON-YHCHC
PA
01
30139634
AMERIHEALTH MERCY-YHOBGYN
PA
01
400525
CAREFIRST MD BCBS
MD
01
50083119
CAPITAL BLUE CROSS-WMG
PA
01
701408
HIGHMARK BLUE SHIELD
PA
01
732204
MEDICARE
MD
01
K4800009
BCBS
MD
Enumeration date
07/26/2006
Last updated
05/06/2019
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