Individual
MR. SAMUEL ERVINE JOHNSTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
9 SUTULA RD, SUFFIELD, CT 06078-2265
(860) 916-6169
(860) 906-3391
Mailing address
9 SUTULA RD, SUFFIELD, CT 06078-2265
(860) 916-6169
(860) 906-3391
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
440
CT
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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