Provider Demographics
NPI:1467486142
Name:JOHNSTON, WILLIAM EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDWARD
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 NO KINGS HWY SUITE 101
Mailing Address - Street 2:WILLIAM E JOHNSTON MD PC
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-482-6464
Mailing Address - Fax:856-482-5314
Practice Address - Street 1:1020 NO KINGS HWY SUITE 101
Practice Address - Street 2:WILLIAM E JOHNSTON MD PC
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-482-6464
Practice Address - Fax:856-482-5314
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04072000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5911524OtherMANAGE CHOICE
2108928001OtherAMERIHEALTH
45001OtherPERSONAL CHOICE
17660OtherUNITED HEALTH CARE
8951074002OtherCIGNA
K3348OtherHORIZON
P646982OtherOXFORD
2K1967OtherHEALTHNET
94885OtherAETNA
D18926Medicare UPIN
NJ450701Medicare ID - Type Unspecified