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Contact Information

WALLACE R JOHNSON, MD
22 S GREENE ST
BALTIMORE, MD21201-1590
 Phone: 410-328-7877
 Fax: 410-328-1048
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALLACE R JOHNSON · (Male)

NPI # 1043253867
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 07/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D38086
Hospital affiliation(s)
  • MARYLAND GENERAL HOSPITAL - (Acute Care)
    827 LINDEN AVENUE
    BALTIMORE, MD 21201
  • UNIVERSITY OF MARYLAND MEDICAL CENTER - (Acute Care)
    22 SOUTH GREENE STREET
    BALTIMORE, MD 21201
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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