Jake Michael Johnson, PA
NPI #1134787518 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1134787518
- Entity Type
- Individual
- Name
- Jake Michael Johnson, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- May 31, 2019
- Last Updated
- Aug 7, 2019
Practice Location
- Address
- 267 GRANT ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06610-2805
- Phone
- (203) 384-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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