Individual
DR. DIRK C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 CEDAR ST, BB 310, NEW HAVEN, CT 06510-3218
(203) 785-2572
(203) 785-3950
Mailing address
330 CEDAR ST # BB 310, NEW HAVEN, CT 06510-3218
(203) 785-2572
(203) 785-3950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
044811
CT
2086S0102X
Surgical Critical Care Physician
044811
CT
2086S0127X
Trauma Surgery Physician
044811
CT
Other
Enumeration date
07/25/2008
Last updated
03/08/2012
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