MEDICARE: PATRICK RAFFERTY SMITH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3843	NJ

General Provider Information

NPI Number	:	1275670507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK RAFFERTY SMITH DC

Provider Business Mailing Address
First Line	:	PO BOX 611
Second Line	:
City	:	PEAPACK
State	:	NJ
Zip	:	07977-0611
Country	:	US
Telephone Number	:	908-234-2060
Fax Number	:	908-234-9503

Provider Business Practice Location Address
First Line	:	261 SPRINGFIELD AVE STE 202
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1264
Country	:	US
Telephone Number	:	908-464-8899
Fax Number	:	908-464-0199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/11/2022

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Directions to “ PATRICK RAFFERTY SMITH DC” Practice Location

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