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Individual

DR. KARL-ERIC JOHANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
205 CENTRE ISLAND ROAD., CENTRE ISLAND, NY 11771
(516) 922-3029
Mailing address
2358 SOUTH OCEAN BLVD., HIGHLAND BEACH, FL 33487
(561) 272-1703

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
104944
NY

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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