Glen Johnson, MD

NPI 1730173675 · on the registry since 2005 · sole proprietor

Practice

Address: 716 Maiden Choice Ln
Suite 205
Baltimore, MD 21228
Phone: (410) 788-7757
Fax: (470) 744-3817
Organisation at this address: A. Shams Pirzadeh, M.D., Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-25

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 Maryland