MEDICARE: AIMEE MARIE JOHNSON M.D.

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	208000000X	Pediatrics Physician	4301094994	MI
2	208000000X	Pediatrics Physician	MD458976	PA

General Provider Information

NPI Number	:	1437388733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE MARIE JOHNSON M.D.

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	484-526-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 N 1ST ST
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-1450
Country	:	US
Telephone Number	:	610-377-6969
Fax Number	:

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

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	09/06/2024

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