Individual provider · Type 1 NPI

Colin Michael Johnson Jr., MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1073298121 Active

Practice location

185 S Orange Ave Bldg G595
Newark, NJ 07103-2757

Call (973) 972-5018 Map

Fax (973) 972-6591

Mailing address

17 Lackawanna Pl Apt 405
Bloomfield, NJ 07003-2955

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073298121

Colin Michael Johnson Jr., MD's National Provider Identifier is 1073298121, issued on Jun 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Jun 16, 2023.