Provider Demographics
NPI:1770770604
Name:JOHNSTON, FABIAN MCCARTNEY (MD)
Entity type:Individual
Prefix:DR
First Name:FABIAN
Middle Name:MCCARTNEY
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:BLALOCK 685
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-502-2846
Mailing Address - Fax:443-451-8583
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:BLALOCK 685
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-502-2846
Practice Address - Fax:443-451-8583
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2016-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.200665208600000X
MO2007016513208600000X
WI610182086X0206X
MDD00718142086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery