| Natalie Johnson, Md, Pc | |
|
470 Prospect Avenue Suite 200 West Orange NJ 07052-4106 | |
| (973) 243-0290 | |
| (973) 243-1863 |
| Full Name | Natalie Johnson, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 470 Prospect Avenue, West Orange, New Jersey |
| Authorized Official Name and Position | Natalie Johnson (PHYSICIAN) |
| Authorized Official Contact | 9732430290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Johnson, Md, Pc 470 Prospect Ave Suite 200 West Orange NJ 07052-4153 Ph: (973) 243-0292 | Natalie Johnson, Md, Pc 470 Prospect Avenue Suite 200 West Orange NJ 07052-4106 Ph: (973) 243-0290 |
| NPI Number | 1487917480 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 6406008366 |
|---|---|
| Medicare Enrollment ID | O20121129000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487917480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06341400 (New Jersey) | Primary |
| Provider Name | Natalie Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114032059 PECOS PAC ID: 5496732794 Enrollment ID: I20040706000268 |
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