Thomas V Johnson, DPM Valid NPI
Individual provider · Foot & Ankle Surgery Podiatrist · Enfield, CT
- NPI
- 1932179421
- Type
- Individual (Type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213ES0103X
- License number
- P00373 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-25
- Last updated
- 2008-01-31
Practice location
1379 Enfield St
Enfield, CT 06082-5524
(860) 741-3041