THEODORE L JOHNSON

BENNINGTON, VT
NPI1831172485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: VT  0420006640)
Enumeration Date2005-11-28
Last Update Date2011-10-03
Business Address
-- THEODORE L JOHNSON MD
194 NORTH STREET
BENNINGTON, VT 05201
Phone number: 802-442-2264
Mailing Address
-- THEODORE L JOHNSON MD
194 NORTH STREET
BENNINGTON, VT 05201
Phone number: 802-442-2264