Individual
MR. ROBERT G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3 EXECUTIVE PARK DR, BEDFORD, NH 03110-6918
(603) 587-4103
Mailing address
3 EXECUTIVE PARK DR, BEDFORD, NH 03110-6918
(603) 587-4103
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-135
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-135
ABSA
NH
Enumeration date
12/17/2020
Last updated
12/17/2020
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