Individual
MARCUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-2200
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-2300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT200465
PA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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