John P Smith, DO
Internal Medicine, Cardiovascular Disease in Fairlawn, NJ. Individual provider (NPI-1).
NPI number1043389869
StatusActive
Last updated in NPPESJul 1, 2010
Details
- NPI
- 1043389869
- Entity type
- Individual (NPI-1)
- Name
- John P Smith
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2006
- Last updated
- Jul 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 029040 | NJ | Yes |
Practice location
1501 BroadwaySuite 4
Fairlawn, NJ 07410
Phone 201-794-6505 · Fax 201-794-1167
Mailing address
1501 BroadwaySuite 4
Fairlawn, NJ 07410
Phone 201-794-6505 · Fax 201-794-1167
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