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Individual

DR. PETER SHIVERS JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 KODIAK ROAD, P.O. BOX 67, BARRYVILLE, NY 12719
(845) 557-0456
Mailing address
412 MORRIS AVE, APT 18, SUMMIT, NJ 07901-1577
(908) 598-9546
(908) 231-5625

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
032117
CT

Other

Enumeration date
07/29/2010
Last updated
03/04/2019
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