Search › Connecticut › 1710I1002X
Mark Johnson, IDC
NPI 1710199666 · on the registry since 2007
Practice
- Address
- Nlon Medical Department Bldg 76
Naval Submarine Base
Groton, CT 06340 - Phone
- (860) 694-2795
- Fax
- (860) 694-4326
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2011-05-06
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 Connecticut