Individual
BRANDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-4120
Mailing address
8880 SW 45TH BLVD, GAINESVILLE, FL 32608-4139
(561) 261-6285
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MT208385
PA
Other
Enumeration date
04/22/2015
Last updated
06/25/2019
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