Individual
MILES BRADFORD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(856) 246-3060
Mailing address
16 BROMLEY CT, ATCO, NJ 08004-2490
(224) 730-3759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15270600
NJ
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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