Randy M Johnson is a Medical in Hamden, Connecticut. Randy M Johnson practices all healthcare services and medical treatments related to Medical. The NPI Number for Randy M Johnson is 1073787677. The last update date is 2021-05-27.
Randy M Johnson's current location address is 2200 Whitney Avenue, Hamden, Connecticut. You can contact this provider via phone number 2032814463 and fax number 2032872930. The mailing address for Randy M Johnson is 2200 Whitney Avenue, Hamden, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy M Johnson |
|---|---|
| Address | 2200 Whitney Avenue, Hamden, Connecticut |
| Phone Number | 2032814463 |
| Fax Number | 2032872930 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073787677 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2021-05-27 |
Provider Mailing Address Detail
| Address | 2200 Whitney Avenue |
|---|---|
| City | Hamden |
| State | Connecticut (CT) |
| Post Code | 65183694 |
| Phone Number | 2032814463 |
| Fax Number | 2032872930 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2078 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Randy M Johnson by the Centers for Medicare & Medicaid Services?
The Randy M Johnson has been issued the NPI (National Provider Identifier) 1073787677 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Randy M Johnson located?
The Randy M Johnson is located at 2200 Whitney Avenue, Hamden, CT 65183694.
What is Randy M Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randy M Johnson is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Randy M Johnson receive the assignment of its 1073787677 from the Centers for Medicare & Medicaid Services?
The Randy M Johnson was issued its 1073787677 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date were the details related to Randy M Johnson most recently updated or revised?
The information pertaining to Randy M Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-27.
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