Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA09914900 | NJ |
Y | 2080P0203X | Pediatric Critical Care Doctor | 25MA09914900 | NJ |
NPI | 1093039034 |
---|---|
Provider Name | Dr. Erin Margaret Johnson |
First Address | Boston, MA 02241-6457 |
Second Address | Morristown, NJ 07960-6136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2010 |
Last Update Date | 03/08/2016 |