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Contact Information

ANDREW JOHNSON, DO
300 2ND AVE
LONG BRANCH, NJ07740-6303
 Phone: 732-222-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ANDREW JOHNSON · (Male)

NPI Number 1386610319
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/28/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB07617400
  • NJ Medicaid 0146960
  • NJ Other 25MB07617400 LICENCE
Hospital affiliation(s)
  • CLARA MAASS MEDICAL CENTER - (Acute Care)
    ONE CLARA MAAS DRIVE
    BELLEVILLE, NJ 07109
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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