Healthcare Provider Details

I. General information

NPI: 1669932406
Provider Name (Legal Business Name): MARGARET SPENCER JOHNSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MOUNTAIN VIEW DR STE 300
COLCHESTER VT
05446-5988
US

IV. Provider business mailing address

354 MOUNTAIN VIEW DR STE 300
COLCHESTER VT
05446-5988
US

V. Phone/Fax

Practice location:
  • Phone: 802-864-0192
  • Fax:
Mailing address:
  • Phone: 802-864-0192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number332091
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number042.0017627
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: