MR. William Dolph Johnson, P.A.

NPI #1376757708 in Wading River, New York

Provider Information

NPI Number: 1376757708
Entity Type: Individual
Name: MR. William Dolph Johnson, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5968 ROUTE 25A
City: Wading River
State: New York
ZIP Code: 11792-2001
Phone: (631) 929-0304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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