Doctor Name: | DR. MONICA J. JOHNSON |
NPI Number: | 1346348745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC, LAC |
License Number: | 26NJ0062900 |
Business Practice Address: | 459 Watchung Ave Watchung, NJ - 070694945 |
Business Phone Number: | 9087562424 |
Business Fax Number: | 9087562447 |
Mailing Address: | 459 Watchung Ave, WATCHUNG |
State: | NJ |
Postal Code: | 070694945 |
Phone Number: | 9087562424 |
Fax Number: | 9087562447 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 26NJ0062900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |