MEDICARE: DR. JOANNE KAISER-SMITH D.O.

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	207R00000X	Internal Medicine Physician	25MB04779800	NJ
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MB04779800	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110113133	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750361838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE KAISER-SMITH D.O.

Provider Business Mailing Address
First Line	:	42 E LAUREL RD STE 3100-A
Second Line	:
City	:	STRATFORD
State	:	NJ
Zip	:	08084-1354
Country	:	US
Telephone Number	:	856-566-7070
Fax Number	:	856-566-7002

Provider Business Practice Location Address
First Line	:	42 E LAUREL RD STE 3100-A
Second Line	:
City	:	STRATFORD
State	:	NJ
Zip	:	08084-1354
Country	:	US
Telephone Number	:	856-566-7070
Fax Number	:	856-566-7002

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	03/15/2024

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Directions to “ DR. JOANNE KAISER-SMITH D.O.” Practice Location

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