| Doctor Name: | DR. PAMELA TECCE JOHNSON |
| NPI Number: | 1699911578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | D47191 |
| Business Practice Address: | 601 N Caroline St Room 3140d Baltimore, MD - 212870006 |
| Business Phone Number: | 4109559446 |
| Business Fax Number: | 4106140341 |
| Mailing Address: | Po Box 64358, BALTIMORE |
| State: | MD |
| Postal Code: | 212644358 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/26/2008 |
| NPI Last Update Date: | 01/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | D47191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |