IndividualActive
Kojo Elenitoba-Johnson, MD
NPI 1912077330 · Clinical Pathology/Laboratory Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1912077330
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD455802 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 662-6503
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2019-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.