Individual
DR. DEBORAH ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 BISHOP PL, HURTADO STUDENT HEALTH CENTER, NEW BRUNSWICK, NJ 08901-1178
(732) 932-7402
Mailing address
11 BISHOP PL, HURTADO STUDENT HEALTH CENTER, NEW BRUNSWICK, NJ 08901-1178
(732) 932-7402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07568400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005975
—
NJ
Enumeration date
10/13/2006
Last updated
09/18/2008
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