Organization
DERMATOLOGY SERVICES OF KINGSTON P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE-LOUISE T JOHNSON M.D. PHD (M.D.)
(845) 338-7472
Entity
Organization
Contact information
Practice address
368 BROADWAY, KINGSTON, NY 12401-5144
(845) 338-7472
(845) 331-4191
Mailing address
368 BROADWAY, SUITE 202, KINGSTON, NY 12401-5144
(845) 338-7472
(845) 331-4191
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
02/10/2012
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