Organization Name: | PAUL R JOHNSON MDFACSPC |
NPI Number: | 1144499526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL R JOHNSON (OWNER) |
Mailing Address: | 400 S Cross St Suite 1 Chestertown |
State: | MD US |
Postal Code: | 216204752 |
Phone Number: | 4107780088 |
Fax Number: | 4107789592 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |