Individual
JUSTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3200
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30079
WV
207P00000X
Emergency Medicine Physician
Primary
D0084902
MD
207P00000X
Emergency Medicine Physician
MT206669
PA
207R00000X
Internal Medicine Physician
MT206669
PA
Other
Enumeration date
06/19/2014
Last updated
04/29/2021
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