Johnson, David L

Johnson, David L is an individual health care provider with primary practice located at 1944 Route 33 Suite 201, Neptune NJ 07753-4862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Johnson, David L can be contacted via phone (732) 776-4622.

Contact Information

Primary practice address
1944 Route 33 Suite 201 Neptune NJ 07753-4862
Phone: (732) 776-4622
Fax: (732) 776-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 62117 New Jersey

Profile Details

NPI number 1114928652
LBN Legal business name Johnson, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114928652 NPPES
New Jersey MEDICAID 5650909

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