| Theodore L Johnson, MD | |
|
194 North Street, Bennington, VT 05201 | |
| (802) 442-2264 | |
| (802) 442-2337 |
| Full Name | Theodore L Johnson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 194 North Street, Bennington, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831172485 | NPI | - | NPPES |
| 0005309 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0420006640 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore L Johnson, MD 194 North Street, Bennington, VT 05201 Ph: (802) 442-2264 | Theodore L Johnson, MD 194 North Street, Bennington, VT 05201 Ph: (802) 442-2264 |
Jaclyn D Lozier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr Ste 210, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Martin R Luloff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Hospital Dr, Suite 207, Bennington, VT 05201 Phone: 802-447-3930 Fax: 802-447-8539 | |
Judy Kay Orton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Main St, Suite 1, Bennington, VT 05201 Phone: 802-442-6057 Fax: 802-447-1348 |