Individual
CAROLINE CARLSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S BROAD ST, PHILADELPHIA, PA 19146-1613
(215) 685-6740
(215) 545-8362
Mailing address
500 S BROAD ST, PHILADELPHIA, PA 19146-1613
(215) 685-6740
(215) 545-8362
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD035967E
PA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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