Susan Mary Hart Johnson, PA-C
NPI #1497888002 in Vernon, Connecticut
Provider Information
- NPI Number
- 1497888002
- Entity Type
- Individual
- Name
- Susan Mary Hart Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 30 HYDE AVE STE 109
- City
- Vernon
- State
- Connecticut
- ZIP Code
- 06066-4503
- Phone
- (860) 454-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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