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1972347110
NATHANIEL PAUL JOHNSON
NEW HAVEN, CT
NPI
1972347110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
Mr. NATHANIEL PAUL JOHNSON PA-C
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3000
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Mailing Address
Mr. NATHANIEL PAUL JOHNSON PA-C
30 HAZEL ST
BRIDGEPORT, CT 06604-7752
Phone number: 203-576-2400
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