Individual
DR. PAUL R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S CROSS ST, SUITE 1, CHESTERTOWN, MD 21620-4752
(410) 778-0088
(410) 778-9592
Mailing address
PO BOX 1079, CHESTERTOWN, MD 21651
(410) 778-0088
(410) 778-9592
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
D0052487
MD
208D00000X
General Practice Physician
Primary
D0052487
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0052487
MD
Other
Enumeration date
07/10/2006
Last updated
02/29/2008
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