Johnson, George A.

Johnson, George A. is an individual health care provider with primary practice located at 375 Mount Pleasant Ave Ste 250 , West Orange NJ 07052-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Johnson, George A. can be contacted via phone (973) 323-1320.

Contact Information

Primary practice address
375 Mount Pleasant Ave Ste 250 West Orange NJ 07052-2751
Phone: (973) 323-1320
Fax: (973) 323-1320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA0361000 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA03619000 New Jersey

Profile Details

NPI number 1326145590
LBN Legal business name Johnson, George A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 9th, 2022 - about 2 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 1326145590 NPPES
New Jersey Other 25MA03619000 LICENSE#
New Jersey MEDICAID 3662608 LICENSE#

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