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Brandon Johnson

NPI 1518392364 · on the registry since 2013

Practice

Address
56 Thompson Cir
Newark, DE 19711
Phone
(281) 468-6202

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-12

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 Delaware