Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerry C Johnson, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1669415972

Jerry C Johnson, MD is a Geriatric Medicine (Internal Medicine) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3615 Chestnut St Ralston Penn Ctr
Philadelphia, PA 19104
Phone: (215) 662-2746
Fax: (215) 349-5648
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Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence MD019829E (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD019829E (PA)

Record details

NPI number1669415972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMarch 23, 2012

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