Individual provider · Type 1 NPI
Wendell Sebastian Johnson, MD
Student in an Organized Health Care Education/Training Program · South River, NJ
NPI number
1730475914
Active
Practice location
47 Charles St
South River, NJ 08882-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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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- Thayna Queiroz HortaStudent in an Organized Health Care Education/Training Program South River, NJ NPI 1982537247
About NPI 1730475914
Wendell Sebastian Johnson, MD's National Provider Identifier is 1730475914, issued on Jun 25, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South River, NJ. The record was last updated on Jul 7, 2011.