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Organization
CHERYL E. SMITH, M.D., P.C.
Active
Organization
CHERYL E. SMITH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL EVETTE SMITH MD (PRESIDENT)
(856) 881-0665
Entity
Organization
Contact information
Practice address
15 HIGH ST E, GLASSBORO, NJ 08028-2595
(856) 881-0665
(856) 881-1449
Mailing address
15 HIGH ST E, GLASSBORO, NJ 08028-2595
(856) 881-0665
(856) 881-1449
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
25MA04238400
NJ
207ZH0000X
Hematology (Pathology) Physician
25MA04238400
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04238400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010835000
AMERIHEALTH
NJ
05
—
2392704
—
NJ
01
—
35552
AETNA
NJ
Enumeration date
09/25/2007
Last updated
09/25/2007
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