Individual
JEFFREY J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5031
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0008782
VT
207P00000X
Emergency Medicine Physician
10082
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0703
—
VT
05
—
3073610
—
NH
Enumeration date
08/10/2006
Last updated
03/23/2016
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