Sandra Diane Johnson in Fairhaven - Family Medicine

Sandra Diane Johnson - NPI 1639153596

Sandra Diane Johnson is a Family Medicine in Fairhaven, Massachusetts. Sandra Diane Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sandra Diane Johnson is 1639153596. The last update date is 2020-04-22.

Sandra Diane Johnson's current location address is 208 Mill Road, Fairhaven, Massachusetts. You can contact this provider via phone number 5089732432 and fax number 5089732435. The mailing address for Sandra Diane Johnson is 208 Mill Road, Fairhaven, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Diane Johnson
Address 208 Mill Road, Fairhaven, Massachusetts
Phone Number 5089732432
Fax Number 5089732435
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639153596
Provider Enumeration Date 2005-12-05
Last Updated Date 2020-04-22

Provider Mailing Address Detail

Address 208 Mill Road
City Fairhaven
State Massachusetts (MA)
Post Code 27195252
Phone Number 5089732432
Fax Number 5089732435

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD11384
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7056488 RI --

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FAQs about Sandra Diane Johnson

What is the unique 10-digit identification code issued to Sandra Diane Johnson by the Centers for Medicare & Medicaid Services?

The Sandra Diane Johnson has been assigned the NPI (National Provider Identifier) 1639153596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Sandra Diane Johnson's facilities are geographically located?

The facilities of Sandra Diane Johnson are physically situated at the following location: 208 Mill Road, Fairhaven, MA, 27195252.

What is Sandra Diane Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sandra Diane Johnson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Sandra Diane Johnson receive its 1639153596 assignment from the Centers for Medicare & Medicaid Services?

The Sandra Diane Johnson was assigned its 1639153596 by the Centers for Medicare & Medicaid Services on 2005-12-05.

As of what date was the information regarding Sandra Diane Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sandra Diane Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-22.

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