Individual
ETHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-5000
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010270969
VA
Other
Enumeration date
04/24/2017
Last updated
05/10/2024
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