Keith Patrick Johnson in Glen Rock - Sports Medicine
Keith Patrick Johnson - NPI 1487616967
Keith Patrick Johnson is a Sports Medicine in Glen Rock, New Jersey. Keith Patrick Johnson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Keith Patrick Johnson is 1487616967. The last update date is 2016-01-19.
Keith Patrick Johnson's current location address is 85 Harristown Road, Glen Rock, New Jersey. You can contact this provider via phone number 8443668800 and fax number 8443668900. The mailing address for Keith Patrick Johnson is 85 Harristown Road, Glen Rock, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Keith Patrick Johnson |
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Address | 85 Harristown Road, Glen Rock, New Jersey |
Phone Number | 8443668800 |
Fax Number | 8443668900 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1487616967 |
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Provider Enumeration Date | 2006-04-03 |
Last Updated Date | 2016-01-19 |
Provider Mailing Address Detail
Address | 85 Harristown Road |
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City | Glen Rock |
State | New Jersey (NJ) |
Post Code | 7452 |
Phone Number | 8443668800 |
Fax Number | 8443668900 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Licence No | 25MA07819000 |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the Keith Patrick Johnson's unique identification number?
The Keith Patrick Johnson has been assigned the NPI (National Provider Identifier) Number 1487616967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Keith Patrick Johnson located?
The Keith Patrick Johnson is located at 85 Harristown Road, Glen Rock, NJ 7452.
What is Keith Patrick Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith Patrick Johnson is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did the Keith Patrick Johnson receive its 1487616967 assignment from the Centers for Medicare & Medicaid Services?
The Keith Patrick Johnson was assigned its 1487616967 by the Centers for Medicare & Medicaid Services on 2006-04-03.
As of what date were the Keith Patrick Johnson's details last updated?
The information pertaining to the Keith Patrick Johnson, including its address, specialty, and other details, was most recently updated on 2016-01-19.
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