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General NPI Number Information
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NPI Number | 1467454751
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Entity Type | Individual
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Provider Name | LEON SMITH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD STE 402
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5287
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Fax | 973-322-2309
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Provider Business Mailing Address
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Address Line | PO BOX 51027
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City | NEWARK
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State | NJ
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Zip | 07101-5127
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Country | US
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Telephone | 973-322-5287
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Fax | 973-322-2309
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 25MA05307800
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License Number State | NJ
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