| Doctor Name: | MS. TRICIA A JOHNSON |
| NPI Number: | 1003819384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R-PAC |
| License Number: | 25MPOO117100 |
| Business Practice Address: | 433 Central Ave Westfield, NJ - 070902520 |
| Business Phone Number: | 9737599000 |
| Business Fax Number: | 9737592487 |
| Mailing Address: | 433 Central Ave, WESTFIELD |
| State: | NJ |
| Postal Code: | 070902520 |
| Phone Number: | 9737599000 |
| Fax Number: | 9737592487 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 04/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MPOO117100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |