Beverly A. Johnson, MD, PC
Dermatology in Silver Spring, MD. Organization (NPI-2).
NPI number1720354871
StatusActive
Last updated in NPPESMar 22, 2012
Details
- NPI
- 1720354871
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly A. Johnson, MD, PC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2012
- Last updated
- Mar 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | D63494 | MD | Yes |
Practice location
11161 New Hampshire AveSilver Spring, MD 20904-2606
Phone 301-593-7546 · Fax 301-593-5727
Mailing address
Po Box 10953Silver Spring, MD 20914-0953
Phone 301-593-7546 · Fax 301-593-5727
Authorized official
Beverly A Johnson
Owner
3015937546
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