Individual
DR. WILLIAM ROY KARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 HARTFORD PIKE, MEDICAL CENTER OF NORTHEAST CONNECTICUT, DAYVILLE, CT 06241
(860) 779-0867
(860) 779-0386
Mailing address
612 HARTFORD PIKE, MEDICAL CENTER OF NORTHEAST CONNECTICUT, DAYVILLE, CT 06241
(860) 779-0867
(860) 779-0386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22859
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001228592
—
CT
Enumeration date
11/09/2006
Last updated
11/10/2010
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