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Individual

DR. PAUL COLONIUS JOHNSON IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3998 RED LION RD STE 211, PHILADELPHIA, PA 19114-1440
(215) 612-5390
(215) 612-5658
Mailing address
3998 RED LION RD STE 211, PHILADELPHIA, PA 19114-1440
(215) 612-5390
(215) 612-5658

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
11580
NV
207Y00000X
Otolaryngology Physician
Primary
TMD004517
PA

Other

Enumeration date
10/14/2005
Last updated
06/04/2020
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