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Dr. Colin Michael Johnson JR., MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1073298121

Colin Michael Johnson JR. is a Student in an Organized Health Care Education/Training Program based in Bloomfield, NJ. Colin Michael Johnson JR. practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Colin Michael Johnson JR. is 1073298121 and holds a License No. (New Jersey).

The current practice location address for Colin Michael Johnson JR. is 185 S Orange Ave Bldg G595, Newark, NJ and can be reached out via phone at 973-972-5018 and via fax at 973-972-6591.

Location: 185 S Orange Ave Bldg G595, Newark, NJ, 07003-2955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073298121
Provider Name
Colin Michael Johnson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
185 S Orange Ave Bldg G595, Newark, NJ, 07003-2955
Phone Number
973-972-5018
Fax Number
973-972-6591
Provider Enumeration Date
06/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
185 S Orange Ave Bldg G595
City
Newark
State
New Jersey
Zip
07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
person
Provider Business Mailing Address Details
Address
185 S Orange Ave Bldg G595
City
Newark
State
New Jersey
Zip
07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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