Individual
DR. EDITHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
85 SEYMOUR ST # 825, HARTFORD, CT 06106-5501
(860) 545-5000
Mailing address
85 SEYMOUR ST # 825, HARTFORD, CT 06106-5501
(860) 545-5000
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
66348
CT
2084N0400X
Neurology Physician
66348
CT
Other
Enumeration date
06/01/2015
Last updated
07/30/2020
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