Individual
DR. PAMELA TECCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, ROOM 3140D, BALTIMORE, MD 21287-0006
(410) 955-9446
(410) 614-0341
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
D47191
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014315400
—
MD
Enumeration date
12/26/2008
Last updated
11/11/2022
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