Provider Demographics
NPI:1609454172
Name:JOHNSON, CARTER STEVEN (MD)
Entity type:Individual
Prefix:
First Name:CARTER
Middle Name:STEVEN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:345 N MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2529
Mailing Address - Country:US
Mailing Address - Phone:860-561-7222
Mailing Address - Fax:860-233-1673
Practice Address - Street 1:345 N MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06117-2529
Practice Address - Country:US
Practice Address - Phone:860-561-7222
Practice Address - Fax:860-233-1673
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT81424207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology