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Individual

DENISE M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
(860) 823-6537
Mailing address
326 WASHINGTON STREET, NORWICH, CT 06360
(860) 889-8331
(860) 823-6537

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001419
CT
363A00000X
Physician Assistant
PA00328
RI

Other

Enumeration date
03/15/2006
Last updated
07/30/2007
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