Individual
CARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10753 FALLS RD, LUTHERVILLE TIMONIUM, MD 21093-4535
(410) 583-2727
Mailing address
PO BOX 64664, BALTIMORE, MD 21264-4664
(410) 550-0453
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D26445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330191500
—
MD
Enumeration date
06/09/2006
Last updated
02/08/2013
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