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Dr. Bertram Lee Johnson JR., MD
Cardiovascular Disease Physician in Lancaster, Pennsylvania
NPI 1477588218

Bertram Lee Johnson JR. is a Cardiovascular Disease Physician based in Lancaster, PA and is specialized in Cardiovascular Disease. Bertram Lee Johnson JR. practices in Lancaster, PA and has the professional credentials of MD. The NPI Number for Bertram Lee Johnson JR. is 1477588218 and holds a License No. MD012613E (Pennsylvania).

The current practice location address for Bertram Lee Johnson JR. is 1821 Oregon Pike Ste 2, Lancaster, PA and can be reached out via phone at 717-569-7100 and via fax at 717-569-3011.

Location: 1821 Oregon Pike Ste 2, Lancaster, PA, 17601-6466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477588218
Provider Name
Bertram Lee Johnson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1821 Oregon Pike Ste 2, Lancaster, PA, 17601-6466
Phone Number
717-569-7100
Fax Number
717-569-3011
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000602572 05 PA
233072995 01 PA TID
institution
Provider Business Practice Location Address Details
Address
1821 Oregon Pike Ste 2
City
Lancaster
State
Pennsylvania
Zip
17601-6466
Phone Number
717-569-7100
Fax Number
717-569-3011
person
Provider Business Mailing Address Details
Address
1821 Oregon Pike Ste 2
City
Lancaster
State
Pennsylvania
Zip
17601-6466
Phone Number
717-569-7100
Fax Number
717-569-3011
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD012613E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
MD012613E (Pennsylvania)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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