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Contact Information

NATALIE JOHNSON, MD
470 PROSPECT AVE
SUITE 200
WEST ORANGE, NJ07052-4153
 Phone: 973-243-0290
 Fax: 973-243-1863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NATALIE JOHNSON · (Female)

NPI # 1114032059
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA063441400
  • NJ Medicaid 6817408
  • NJ Other 2172017 AETNA USHC
  • NJ Other 2K0740 HEALTH NET
Hospital affiliation(s)
  • EAST ORANGE GENERAL HOSPITAL - (Acute Care)
    300 CENTRAL AVE
    EAST ORANGE, NJ 07018
  • EAST TEXAS MEDICAL CENTER - (Acute Care)
    1000 SOUTH BECKHAM STREET
    TYLER, TX 75701
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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