Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD11937 | RI |
NPI | 1164486510 |
---|---|
Provider Name | Dr. Sean Ture Johnson |
First Address | Gaithersburg, MD 20879-3301 |
Second Address | Gaithersburg, MD 20879-3301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 27/06/2021 |