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Matthew T. Johnson, PA-C
Surgical Physician Assistant in Scarborough, Maine
NPI 1972547404

Matthew T. Johnson is a Surgical Physician Assistant based in Scarborough, ME and is specialized in Surgical. Matthew T. Johnson practices in Scarborough, ME and has the professional credentials of PA-C. The NPI Number for Matthew T. Johnson is 1972547404 and holds a License No. PA-703 (Maine).

The current practice location address for Matthew T. Johnson is 92 Campus Dr, Scarborough, ME and can be reached out via phone at 207-885-0011.

Location: 92 Campus Dr, Scarborough, ME, 04074-7228
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Provider Profile Details
NPI Number
1972547404
Provider Name
Matthew T. Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
92 Campus Dr, Scarborough, ME, 04074-7228
Phone Number
207-885-0011
Fax Number
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
241390099 05 ME
30336259 05 NH
institution
Provider Business Practice Location Address Details
Address
92 Campus Dr
City
State
Zip
04074-7228
Phone Number
207-885-0011
Fax Number
person
Provider Business Mailing Address Details
Address
92 Campus Dr
City
State
Zip
04074-7228
Phone Number
207-885-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-703 (Maine)
Definition
Definition to come...
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