Johnson, George A.
Johnson, George A. is an individual health care provider with primary practice located at 375 Mount Pleasant Ave Ste 250 , West Orange NJ 07052-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Johnson, George A. can be contacted via phone (973) 323-1320.Contact Information
Primary practice address
375 Mount Pleasant Ave Ste 250
West Orange NJ 07052-2751
Phone: (973) 323-1320
Fax: (973) 323-1320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA0361000 | New Jersey |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA03619000 | New Jersey |
Profile Details
| NPI number | 1326145590 |
|---|---|
| LBN Legal business name | Johnson, George A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 9th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326145590 | NPPES |
| New Jersey | Other | 25MA03619000 | LICENSE# |
| New Jersey | MEDICAID | 3662608 | LICENSE# |
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