Individual
MR. TONY BERNARD JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 MILL BEND RD, LEVITTOWN, PA 19056-3623
(215) 776-7843
Mailing address
11 MILL BEND RD, LEVITTOWN, PA 19056-3623
(215) 776-7843
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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