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General NPI Number Information
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NPI Number | 1275521361
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Entity Type | Individual
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Provider Name | JOHN E SMITH JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 755 MEMORIAL PARKWAY SUITE 102 HILLCREST PROFESSIONAL PLAZA
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2774
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Country | US
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Telephone | 908-454-0370
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Fax | 908-454-9858
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Provider Business Mailing Address
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Address Line | 10 BRASS CASTLE RD
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City | WASHINGTON
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State | NJ
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Zip | 08865-4327
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Country | US
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Telephone | 908-454-0370
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Fax | 908-454-9858
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MA073316
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License Number State | NJ
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