MEDICARE: ALBERT JOHNSON 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	207X00000X	Orthopaedic Surgery Physician	25MA03047500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992709828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT JOHNSON MD

Provider Business Mailing Address
First Line	:	1081 ROUTE 22
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2921
Country	:	US
Telephone Number	:	908-722-0822
Fax Number	:	908-722-6318

Provider Business Practice Location Address
First Line	:	1081 ROUTE 22
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2921
Country	:	US
Telephone Number	:	908-722-0822
Fax Number	:	908-722-6318

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/12/2008

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