Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JOHNSON, MD
ActiveMARK JOHNSON, MD is a 2085N0904X healthcare provider located in SOUTHBURY, Connecticut. NPI 1780618694 is currently active in the NPPES registry. Verify at CMS.
2085N0904X · SOUTHBURY, CT
Registration Details
- NPI Number
- 1780618694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.100958271052 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
022134 (CT)022134 (CT)022134 (CT)
Practice Information
- Address
-
385 MAIN ST SOUTHUNION SQUARESOUTHBURY, CT, 06488Browse CT providers · Browse ZIP 06488
- Phone
- 2032647999
- Fax
- 2032647477
- Primary Specialty
-
2085N0904X
2085N0904X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Ultrasound
Other 2085N0904X Providers in SOUTHBURY, CT
| Name | Credential | NPI |
|---|---|---|
| ROBERT GUMBARDO | MD | 1346274255 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.