Organization
PROFESSIONAL ORTHOPAEDIC ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER D JOHNSON MD (PHYSICIAN)
(732) 530-4949
Entity
Organization
Contact information
Practice address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 530-3618
Mailing address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 530-3618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250340001
MEDICARE DMER IDENTIFIER
NJ
Enumeration date
12/28/2005
Last updated
04/14/2014
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