MEDICARE: JILLIAN CORBETT SMITH MD

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	207P00000X	Emergency Medicine Physician	25MA09149700	NJ
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD436834	PA
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	320696	NY
4	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	C1-0025789	DE
5	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MA09149700	NJ

General Provider Information

NPI Number	:	1508009325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN CORBETT SMITH MD

Provider Business Mailing Address
First Line	:	PO BOX 159
Second Line	:
City	:	BARRINGTON
State	:	NJ
Zip	:	08007-0159
Country	:	US
Telephone Number	:	856-342-2351
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 BLACK HORSE PIKE
Second Line	:
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1009
Country	:	US
Telephone Number	:	888-982-8594
Fax Number	:

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

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	08/15/2025

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