William Dolph Johnson in Wading River - Physician Assistant
William Dolph Johnson - NPI 1376757708
William Dolph Johnson is a Physician Assistant in Wading River, New York. William Dolph Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Dolph Johnson is 1376757708. The last update date is 2007-07-08.
William Dolph Johnson's current location address is 5968 Route 25a, Wading River, New York. You can contact this provider via phone number 6319290304. The mailing address for William Dolph Johnson is 5968 Route 25a, Wading River, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Dolph Johnson |
|---|---|
| Address | 5968 Route 25a, Wading River, New York |
| Phone Number | 6319290304 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1376757708 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5968 Route 25a |
|---|---|
| City | Wading River |
| State | New York (NY) |
| Post Code | 117922001 |
| Phone Number | 6319290304 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10949 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the William Dolph Johnson's 1376757708?
The William Dolph Johnson's NPI (National Provider Identifier) Number is 1376757708. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of William Dolph Johnson?
The William Dolph Johnson is situated at 5968 Route 25A, in the city of Wading River, state of NY, with the zip code 117922001.
What is William Dolph Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William Dolph Johnson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the William Dolph Johnson's 1376757708 issued?
The William Dolph Johnson's 1376757708 was issued on 2007-05-08.
When was the information pertaining to William Dolph Johnson most recently updated or revised?
The details related to William Dolph Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.