MEDICARE: DR. CYNTHIA B SMOKER-JOHNSTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD042440-L	PA

General Provider Information

NPI Number	:	1386669893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA B SMOKER-JOHNSTON MD

Provider Business Mailing Address
First Line	:	225 EVERGREEN RD
Second Line	:	SANATOGA CENTER
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3143
Country	:	US
Telephone Number	:	610-323-1800
Fax Number	:	610-612-3108

Provider Business Practice Location Address
First Line	:	225 EVERGREEN RD
Second Line	:	SANATOGA CENTER
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-3143
Country	:	US
Telephone Number	:	610-323-1800
Fax Number	:	610-612-3108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/02/2016

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