Theodore L Johnson, MD | |
194 North Street, Bennington, VT 05201 | |
(802) 442-2264 | |
(802) 442-2337 |
Full Name | Theodore L Johnson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 194 North Street, Bennington, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831172485 | NPI | - | NPPES |
0005309 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0420006640 (Vermont) | Primary |
Mailing Address | Practice Location Address |
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Theodore L Johnson, MD 194 North Street, Bennington, VT 05201 Ph: (802) 442-2264 | Theodore L Johnson, MD 194 North Street, Bennington, VT 05201 Ph: (802) 442-2264 |
Jaclyn D Lozier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr Ste 210, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Martin R Luloff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr, Suite 207, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Judy Kay Orton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Main St, Suite 1, Bennington, VT 05201 Phone: 802-442-6057 Fax: 802-447-1348 |