Individual
GARRICK J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 622-6484
(603) 622-7438
Mailing address
200 TECHNOLOGY DRIVE, NEW HAMPSHIRE ONCOLOGY HEMATOLOGY PA, HOOKSETT, NH 03106
(603) 622-6484
(603) 622-7438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0195P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30330699
—
NH
Enumeration date
07/13/2006
Last updated
01/15/2024
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