Most Relevant Information
Provider Data
| NPI Number: | 1003494477 |
| Provider Name: | TAYLOR JOHNSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2021 |
| Last Updated: | 03/29/2021 |
Provider Practice Location
500 UNIVERSITY DR # MCH033
HERSHEY
PA
170332360
Practice Location Phone/Fax
| Phone: | 7175316489 |
| Fax: |
Provider Mailing Location
500 UNIVERSITY DR # MCH033
HERSHEY
PA
170332360
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |