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Individual

JEFFREY PACE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11110 MEDICAL CAMPUS RD STE 228, HAGERSTOWN, MD 21742-6727
(301) 733-0022
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 733-0022

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
331137
NY
208800000X
Urology Physician
Primary
D0104627
MD

Other

Enumeration date
03/28/2018
Last updated
01/15/2026
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