Dr. Stacey Johnson
Pediatric Endocrinologist
401 N 17th St Ste 203
Allentown
, Pennsylvania 18104-5050
Dr. Stacey Johnson
Pediatric Endocrinologist
401 N 17th St Ste 203
Allentown
, Pennsylvania 18104-5050
(484) 884-0628
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Stacey Johnson
- 2100 Mack Blvd
- Allentown, PA
- Zip : 18103-5622
- Fax : (484) 884-0628
- Phone : (484) 884-0617
Second Address
- Dr. Stacey Johnson
- 401 N 17th St Ste 203
- Allentown, PA
- Zip : 18104-5050
- Phone : (610) 969-3230
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | MD471180 | PA |
National Provider Identifier
| NPI | 1003348459 |
|---|---|
| Provider Name | Dr. Stacey Johnson |
| First Address | Allentown, PA 18103-5622 |
| Second Address | Allentown, PA 18104-5050 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2017 |
| Last Update Date | 19/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.