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Wendell Sebastian Johnson, MD
Student in an Organized Health Care Education/Training Program in South River, New Jersey
NPI 1730475914

Wendell Sebastian Johnson is a Student in an Organized Health Care Education/Training Program based in South River, NJ. Wendell Sebastian Johnson practices in South River, NJ and has the professional credentials of MD. The NPI Number for Wendell Sebastian Johnson is 1730475914 and holds a License No. (New Jersey).

The current practice location address for Wendell Sebastian Johnson is 47 Charles St, South River, NJ and can be reached out via phone at 908-208-1643.

Location: 47 Charles St, South River, NJ, 08882-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730475914
Provider Name
Wendell Sebastian Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
47 Charles St, South River, NJ, 08882-1605
Phone Number
908-208-1643
Fax Number
Provider Enumeration Date
06/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
47 Charles St
City
South River
State
New Jersey
Zip
08882-1605
Phone Number
908-208-1643
Fax Number
person
Provider Business Mailing Address Details
Address
47 Charles St
City
South River
State
New Jersey
Zip
08882-1605
Phone Number
908-208-1643
Fax Number
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.
(New Jersey)
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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