Search › Pennsylvania › 175T00000X
Antoine Johnson
NPI 1316545379 · on the registry since 2020
Practice
- Address
- 846 N 63rd St
Philadelphia, PA 19151 - Phone
- (121) 538-8533
- Organisation at this address
- Our Family Is Your Family , Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania