Individual
BENJAMIN DANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8629
(802) 388-4701
Mailing address
115 PORTER DR, MIDDLEBURY, VT 05753-8629
(802) 388-4701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032.0134101
VT
207R00000X
Internal Medicine Physician
A-1997-16
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2013
Last updated
08/03/2023
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