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DR. PETER SHIVERS JOHNSTON M.D.

Endocrinology, Diabetes & Metabolism >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770897068

Individual Registrant:
DR. PETER SHIVERS JOHNSTON M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
10 KODIAK ROAD P.O. BOX 67 BARRYVILLE, NY 12719 US
Tel: 845-557-0456  Fax: --

Contact information for business:
412 MORRIS AVE APT 18 SUMMIT, NJ 07901-1577 US
Tel: 908-598-9546  Fax: 908-231-5625

Registration Information:
NPI: 1770897068
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RE0101XAllopathic & Osteopathic Physicians
Internal Medicine
Endocrinology, Diabetes & Metabolism
CT032117

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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