IndividualActive
Gregory Johnson, M.D.
NPI 1699068049 · Pediatric Anesthesiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1699068049
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD455466 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1858
Fax: (215) 590-1415
Approximate (ZIP-level) locationGet directions
Mailing address
1726 Pine St
Philadelphia, PA 19103-6780
Additional practice locations (2)
- 525 E 68th StNew York, NY 10065-4870Phone: (212) 746-2962
- 550 S Goddard BlvdKing of Prussia, PA 19406-2922Phone: (610) 337-3232Fax: (610) 337-0325
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.