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1730173675
GLEN EDWARD JOHNSON
BALTIMORE, MD
NPI
1730173675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D19558)
Enumeration Date
2005-09-07
Last Update Date
2017-01-25
Business Address
-- GLEN EDWARD JOHNSON MD
716 MAIDEN CHOICE LN SUITE 205
BALTIMORE, MD 21228-5943
Phone number: 410-788-7757
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Mailing Address
-- GLEN EDWARD JOHNSON MD
716 MAIDEN CHOICE LANE SUITE 205
BALTIMORE, MD 21228-5957
Phone number: 410-788-7757
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