Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD469993 | PA |
NPI | 1134461783 |
---|---|
Provider Name | Cassandra H Johnson |
First Address | York, PA 17408-8815 |
Second Address | York, PA 17408-8815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 19/01/2021 |