| Organization Name: | JOHNSON MEMORIAL HOSPITAL, INC. |
| NPI Number: | 1932123569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STUART E. ROSENBERG (PRESIDENT) |
| Mailing Address: | 201 Chestnut Hill Road Stafford Springs |
| State: | CT US |
| Postal Code: | 060760860 |
| Phone Number: | 8606848478 |
| Fax Number: | 8606848123 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0033 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |